| Regimental number | 11072 |
| Religion | Roman Catholic |
| Occupation | Farm labourer |
| Address | West Maitland, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs K E Healy, Abbeyside, Sunville, Dungarvin, Ireland |
| Enlistment date | 22 October 1915 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 3, Reinforcement 14 |
| AWM Embarkation Roll number | 13/31/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Osterley on 15 January 1916 |
| Fate | No details of fate entered on Nominal Roll |