| Regimental number | 1651 |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Mrs C Healy, Mona Street, Preston, Lancashire, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/21/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A49 Seang Choon on |
| Fate | No details of fate entered on Nominal Roll |