| Regimental number | 4801 |
| Place of birth | Liverpool England |
| Religion | Roman Catholic |
| Occupation | Yardsman |
| Address | 312 Spencer Street, Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Sister, Mrs Sarah Kelly, 31 Taliesine Street, Liverpool, England |
| Enlistment date | 27 January 1916 |
| Rank on enlistment | Private |
| Unit name | 23rd Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/49/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A14 Euripides on 4 April 1916 |
| Regimental number from Nominal Roll | 4792 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 23rd Battalion |
| Fate | Returned to Australia 18 July 1919 |