| Regimental number | 2187 |
| Place of birth | Bundaberg Queensland |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Bundaberg, Queensland |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs Mary Healey, Woomdooma Street, Bundaberg, Queensland |
| Enlistment date | 10 April 1916 |
| Rank on enlistment | Private |
| Unit name | 52nd Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/69/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A42 Boorara on 16 August 1916 |
| Regimental number from Nominal Roll | 2187A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Employment Company |
| Fate | Returned to Australia 2 January 1919 |