| Regimental number | 66201 |
| Place of birth | Sydney New South Wales |
| Religion | Roman Catholic |
| Occupation | Grocer |
| Address | 370 Cleveland Street, Redfern, New South Wales |
| Marital status | Single |
| Age at embarkation | 36 |
| Next of kin | Mother, Mrs C Dolan, 370 Cleveland Street, Redfern, New South Wales |
| Enlistment date | 8 June 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 20 |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board SS Zealandic on 5 October 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 57th Battalion |
| Fate | Returned to Australia 10 April 1919 |
