| Regimental number | 58775 |
| Place of birth | Parkes New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Parkes, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs R E Callaghan, Forbes Road, Parkes, New South Wales |
| Enlistment date | 30 April 1918 |
| Rank on enlistment | Private |
| Unit name | 10th General Service (NSW) Reinforcements |
| AWM Embarkation Roll number | 23/111/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on 17 July 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 34th Battalion |
| Fate | Returned to Australia 25 January 1919 |
