| Regimental number | 5166 |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Ballarat East, Victoria |
| Marital status | Single |
| Age at embarkation | 40 |
| Next of kin | Sister, Mrs M O'Dea, 123 Barkley Street, Ballarat East, Victoria |
| Enlistment date | 2 September 1915 |
| Rank on enlistment | Sapper |
| Unit name | July 1916 Reinforcements |
| AWM Embarkation Roll number | 16/14/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A26 Armadale on 19 July 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |