| Regimental number | 6798 |
| Place of birth | Wellington, New Zealand |
| Religion | Roman Catholic |
| Occupation | Salesman |
| Address | Claremont, Western Australia |
| Marital status | Married |
| Age at embarkation | 39 |
| Next of kin | Wife, Mrs Susan Mary Conroy, Caxton Road, Claremont, Western Australia |
| Enlistment date | 21 January 1917 |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/45/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A30 Borda on 29 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 28th Battalion |
| Fate | Returned to Australia 1 November 1917 |
