| Regimental number | 5363 |
| Place of birth | Broken Hill New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Margaret Hynes, 16 Carrington Street, Adelaide, South Australia |
| Enlistment date | 28 April 1916 |
| Rank on enlistment | Private |
| Unit name | 27th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/44/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A70 Ballarat on 12 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 27th Battalion |
| Fate | Returned to Australia 20 December 1918 |