| Regimental number | 9906 |
| Religion | Roman Catholic |
| Occupation | Tram conductor |
| Address | Swan Street, Hamilton, Newcastle, New South Wales |
| Marital status | Married |
| Age at embarkation | 22 |
| Next of kin | Wife, Mrs Edith Ann Kearney, 'Fitzroy,' Montague Street, Balmain, New South Wales |
| Enlistment date | 1 February 1916 |
| Rank on enlistment | Driver |
| Unit name | Divisional Train Army Service Corps 1 |
| AWM Embarkation Roll number | 25/14/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A10 Karoo on 5 May 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
