| Regimental number | 3058 |
| Place of birth | Sydney New South Wales |
| Religion | Roman Catholic |
| Occupation | Cook's assistant |
| Address | Waverley, New South Wales |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Aunt, Mrs Annie Moriarty, Rockley Street, Bondi, Sydney, New South Wales |
| Enlistment date | 4 December 1916 |
| Rank on enlistment | Private |
| Unit name | 36th Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/53/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A24 Benalla on 10 May 1917 |
| Regimental number from Nominal Roll | 3058A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 33rd Battalion |
| Fate | Returned to Australia 4 July 1919 |