| Regimental number | 5135 |
| Place of birth | Bondi New South Wales |
| Religion | Roman Catholic |
| Occupation | Fuel man |
| Address | Parkes, New South Wales |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Mother, Mrs M Keenan, Dalton Street, Parkes, New South Wales |
| Enlistment date | 10 January 1916 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/34/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A55 Kyarra on 5 June 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 17th Battalion |
| Fate | Returned to Australia 13 February 1917 |
