| Regimental number | 3782 |
| Place of birth | Toowoomba Queensland |
| Religion | Church of England |
| Occupation | Plumber |
| Address | Mary Street, Toowoomba, Queensland |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, M Kealy, Mary Street, Toowoomba, Queensland |
| Enlistment date | 16 August 1915 |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A23 Suffolk on 30 November 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Battalion |
| Fate | Returned to Australia 13 February 1917 |