| Regimental number | 2369 |
| Place of birth | Arden Ireland |
| Religion | Roman Catholic |
| Occupation | Cook |
| Address | Leeton, New South Wales |
| Marital status | Single |
| Age at embarkation | 42 |
| Enlistment date | 19 March 1917 |
| Date of enlistment from Nominal Roll | 12 March 1917 |
| Rank on enlistment | Private |
| Unit name | 12th Light Horse Regiment, 19th Reinforcement |
| AWM Embarkation Roll number | 10/17/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A17 Port Lincoln on 11 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Light Horse Regiment |
| Fate | Returned to Australia 12 April 1919 |
