| Regimental number | 5011 |
| Place of birth | Dunolly Victoria |
| Religion | Roman Catholic |
| Occupation | Groom |
| Address | Nunn Street, Benalla, Vic, |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Mother, Mrs Bridget Gavan, 33 Erskin Street, North Melbourne, Victoria |
| Enlistment date | 15 March 1916 |
| Date of enlistment from Nominal Roll | 11 February 1916 |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/39/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A33 Ayrshire on 3 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Machine Gun Battalion |
| Fate | Returned to Australia 18 January 1919 |
