| Regimental number | 6680 |
| Place of birth | Dublin Ireland |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Oxley, Queensland |
| Marital status | Married |
| Age at embarkation | 43 |
| Next of kin | Wife, Mrs C M M Jordan, Blackwood Road, Oxley, Queensland |
| Enlistment date | 9 January 1917 |
| Rank on enlistment | Private |
| Unit name | 25th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/42/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 7 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 25th Battalion |
| Fate | Returned to Australia 1 February 1918 |
