| Regimental number | 6728 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Railway employee |
| Address | Parramatta Road, Homebush, New South Wales |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Mrs M O'Shea, Burleigh Street, Burwood, New South Wales |
| Enlistment date | 24 July 1916 |
| Date of enlistment from Nominal Roll | 5 April 1916 |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/31/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Port Napier on 17 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 29th Battalion |
| Fate | Returned to Australia 6 June 1918 |
