| Regimental number | 429 |
| Place of birth | South Melbourne Victoria |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | 4 Hatton Grove, Coburg, Victoria |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs M Reilly, 4 Hatton Grove, Coburg, Victoria |
| Enlistment date | 4 August 1916 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 4, Reinforcement 6 |
| AWM Embarkation Roll number | 24/9/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A17 Port Lincoln on 20 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Machine Gun Company |
| Fate | Returned to Australia 3 July 1919 |
