| Regimental number | 54073 |
| Place of birth | Guildford New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Leichhardt, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs M Doherty, 23 Maida Street, Leichhardt, New South Wales |
| Enlistment date | 15 April 1918 |
| Date of enlistment from Nominal Roll | 8 April 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 5 |
| AWM Embarkation Roll number | 23/111/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Feldmarschall on 19 June 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | ABD |
| Fate | Returned to Australia 22 July 1919 |
