| Regimental number | 4854 |
| Other Names | Tom |
| Religion | Roman Catholic |
| Occupation | Contractor |
| Address | North Perth, Western Australia |
| Marital status | Married |
| Age at embarkation | 40 |
| Next of kin | Wife, Mrs M Kelleher, Adelaide Street, North Perth, Western Australia |
| Enlistment date | 20 May 1915 |
| Rank on enlistment | Private |
| Unit name | No 1 Australian General Hospital |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board A62 Wandilla on 25 June 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 13th Field Ambulance |
| Fate | Returned to Australia 27 August 1917 |
