| Regimental number | 1168 |
| Religion | Roman Catholic |
| Occupation | Bushman |
| Address | 25 Albert Street, Redfern, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs. Lizzie Keenan, 25 Albert Street, Redfern, Sydney, New South Wales |
| Enlistment date | 27 April 1915 |
| Rank on enlistment | Private |
| Unit name | 6th Light Horse Regiment, 8th Reinforcement |
| AWM Embarkation Roll number | 10/11/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A23 Suffolk on 28 July 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
