| Regimental number | 6826 |
| Place of birth | Deniliquin New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | P.O., Berrigan, New South Wales |
| Marital status | Single |
| Age at embarkation | 38 |
| Next of kin | Sister, Miss K. Shannon, Federal Hotel, Berrigan, New South Wales |
| Enlistment date | 6 November 1916 |
| Date of enlistment from Nominal Roll | 31 October 1916 |
| Rank on enlistment | Private |
| Unit name | 7th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/24/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Port Napier on 17 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 7th Battalion |
| Fate | Returned to Australia 12 March 1918 |
