| Regimental number | 5564 |
| Place of birth | Goulburn New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Crookwell, New South Wales |
| Marital status | Single |
| Age at embarkation | 36 |
| Next of kin | Sister, Bridget Reardon, Lochiel Cook Street, Randwick, New South Wales |
| Enlistment date | 23 March 1916 |
| Rank on enlistment | Private |
| Unit name | 18th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/35/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 9 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 18th Battalion |
| Fate | Returned to Australia 1 April 1919 |
