| Regimental number | 2127 |
| Place of birth | Grafton New South Wales |
| Religion | Roman Catholic |
| Occupation | Blacksmith's foreman |
| Address | South Grafton, New South Wales |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs Bridget Holmes, Hawthorn Villa, South Grafton, New South Wales |
| Enlistment date | 22 November 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 |
| Fate | No details of fate entered on Nominal Roll |
