| Regimental number | 5419 |
| Place of birth | Windsor New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | 294 Woodward Road, Golden Gully, Bendigo, Victoria |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs M A Keating, 294 Woodward Road, Golden Gully, Bendigo, Victoria |
| Enlistment date | 2 February 1916 |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/23/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A14 Euripides on 4 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Battalion |
| Fate | Returned to Australia 31 January 1918 |
