| Regimental number | 1633 |
| Place of birth | Melbourne Victoria |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Mrs M. Quinn, 44 Nott Street, Port Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs M. Quinn, Nott Street, Port Melbourne, Victoria |
| Enlistment date | 28 July 1915 |
| Rank on enlistment | Private |
| Unit name | 4th Light Horse Regiment, 12th Reinforcement |
| AWM Embarkation Roll number | 10/9/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A40 Ceramic on 23 November 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Light Horse Regiment |
| Fate | Returned to Australia 15 June 1919 |
