| Regimental number | 67 |
| Place of birth | Gulgong New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 40 |
| Next of kin | Mother, Mrs J Fogarty, Burrawong Road, Kensington, New South Wales |
| Enlistment date | 21 December 1915 |
| Rank on enlistment | Private |
| Unit name | 33rd Battalion, A Company |
| AWM Embarkation Roll number | 23/50/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A74 Marathon on 4 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 33rd Battalion |
| Fate | Returned to Australia 1 November 1917 |
