| Regimental number | 2108 |
| Place of birth | Goulburn New South Wales |
| Religion | Roman Catholic |
| Occupation | Farmer |
| Address | Tabulam, New South Wales |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Sister, Mrs Bridget Kennedy, Bottle Creek, Tabulam, New South Wales |
| Enlistment date | 1 December 1916 |
| Rank on enlistment | Private |
| Unit name | December 1916 Reinforcements |
| AWM Embarkation Roll number | 11/14/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Karmala on 3 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Light Horse Regiment |
| Fate | Returned to Australia 7 April 1919 |