| Regimental number | 2258 |
| Place of birth | West Perth Western Australia |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | c/o Mrs Grice, Commercial Road, Fort Valley, Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Sister, Miss Margaret Kelleher, 234 Aberdeen Street, West Perth, Western Australia |
| Enlistment date | 12 August 1915 |
| Rank on enlistment | Private |
| Unit name | 25th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/42/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A26 Armadale on 18 September 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Battalion |
| Fate | Returned to Australia 4 May 1917 |