| Regimental number | 7636 |
| Place of birth | Melbourne, Victoria |
| Religion | Church of England |
| Occupation | Masseur |
| Address | Ballarat, Victoria |
| Marital status | Married |
| Age at embarkation | 42 |
| Next of kin | Wife, Mrs R Ahern, City Baths, Ballarat, Victoria |
| Enlistment date | 18 August 1915 |
| Rank on enlistment | Staff Sergeant |
| Unit name | Army Medical Corps, Special Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Morea on 24 August 1915 |
| Rank from Nominal Roll | Warrant Officer (Class I) |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 24 June 1916 |
