| Regimental number | 6802 |
| Place of birth | Koraki New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Newcastle, New South Wales |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Step-Brother, Philip Foley, 28 Bourke Street, West Maitland, New South Wales |
| Enlistment date | 24 May 1917 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/36/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A16 Port Melbourne on 16 July 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 35th Battalion |
| Fate | Returned to Australia 6 September 1919 |
