| Regimental number | 5111 |
| Place of birth | Sydney New South Wales |
| Religion | Roman Catholic |
| Occupation | Carpenter and joiner |
| Address | 18 Lower Fort Street, Dawes Point, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs B Healy, 18 Lower Fort Street, Dawes Point, Sydney, New South Wales |
| Enlistment date | 27 September 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/18/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Makarini on 1 April 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 1st Battalion |
| Fate | Returned to Australia 12 December 1918 |
