| Regimental number | 3304 |
| Place of birth | Dalby Qld |
| Religion | Roman Catholic |
| Occupation | Groom |
| Address | Nerang, Queensland |
| Marital status | Widower |
| Age at embarkation | 39 |
| Next of kin | Daughter, Miss Enid Healy, Commercial Hotel, Nerang, Queensland |
| Enlistment date | 28 April 1917 |
| Rank on enlistment | Private |
| Unit name | 41st Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/58/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on 14 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 41st Battalion |
| Fate | Returned to Australia 1 November 1917 |
