| Regimental number | 3507 |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Bathurst, New South Wales |
| Marital status | Single |
| Age at embarkation | 43 |
| Next of kin | Ni, Miss Kathleen O'Shea, 'Lasevade', 58 Queen Street, Ashfield, New South Wales |
| Enlistment date | 18 November 1916 |
| Rank on enlistment | Private |
| Unit name | 56th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/73/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on 24 January 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 56th Battalion |
| Fate | Returned to Australia 9 December 1918 |
