| Regimental number | 1995 |
| Place of birth | New Norfolk Tasmania |
| Religion | Roman Catholic |
| Occupation | Timber cutter |
| Address | Wyong, New South Wales |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs Ivy Gladys Gleeson, Wagstaff Point, Woy Woy, New South Wales |
| Enlistment date | 18 December 1916 |
| Rank on enlistment | Private |
| Unit name | December 1916 Reinforcements |
| AWM Embarkation Roll number | 11/14/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Karmala on 3 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Light Horse Field Ambulance |
| Fate | Returned to Australia 17 July 1919 |
