| Regimental number | 5053 |
| Place of birth | Liverpool England |
| Religion | Roman Catholic |
| Occupation | Selector |
| Address | Ellerslie House, Russell Street, Toowoomba, Queensland |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Sister, Mrs Mary Agnes Cusick, 16 Eaton Avenue, Sutherland, Liverpool, England |
| Enlistment date | 11 January 1916 |
| Rank on enlistment | Private |
| Unit name | 26th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/43/4 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A49 Seang Choon on 4 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 26th Battalion |
| Fate | Returned to Australia 13 February 1917 |
