| Regimental number | 4790 |
| Place of birth | Newcastle New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Swan Bay, Richmond River, New South Wales |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs E Gilligan, Line Street off Railway Street, Deshea Estate South Brisbane, Queensland |
| Enlistment date | 14 September 1915 |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A73 Commonwealth on 28 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Battalion |
| Fate | Returned to Australia 15 January 1919 |
