| Regimental number | 17140 |
| Place of birth | Blumberg South Australia |
| Religion | Roman Catholic |
| Occupation | Clerk |
| Address | Goodwood, South Australia |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs A Hynes, North Railway Parade, Goodwood, South Australia |
| Enlistment date | 28 July 1916 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps February 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A30 Borda on 23 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Field Ambulance |
| Fate | Returned to Australia 16 June 1919 |