| Regimental number | 4121 |
| Place of birth | Dublin Ireland |
| Religion | Roman Catholic |
| Occupation | Wahrf labourer |
| Address | 24 Marrion Street, Pyrmont, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs Alma B Kearney, 24 Marrion Street, Pyrmont, Sydney, New South Wales |
| Enlistment date | 1 February 1917 |
| Rank on enlistment | Private |
| Unit name | 1st Pioneer Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 14/13/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 16 June 1917 |
