| Regimental number | 1210 |
| Place of birth | Drouin Victoria |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Koo Wee Rup, Victoria |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs E 0'Shea, Koo Wee Rup, Victoria |
| Enlistment date | 30 September 1914 |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, C Company |
| AWM Embarkation Roll number | 23/31/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A38 Ulysses on 22 December 1914 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Battalion |
| Fate | Returned to Australia 12 May 1918 |
