| Regimental number | 4748 |
| Place of birth | Melbourne Vic |
| Religion | Roman Catholic |
| Occupation | Railway employee |
| Address | Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs Effie Healy, 389 Beaufort Street, Perth, Western Australia |
| Enlistment date | 28 February 1916 |
| Date of enlistment from Nominal Roll | 17 February 1916 |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/45/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A60 Aeneas on 17 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 28th Battalion |
| Fate | Returned to Australia 16 March 1918 |
