| Regimental number | 1777A |
| Religion | Roman Catholic |
| Occupation | Miner |
| Address | Calliope, Queensland |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Catherine Kelly, Queen Street, Tipperary Point, Mount Morgan, Queensland |
| Enlistment date | 17 January 1916 |
| Rank on enlistment | Private |
| Unit name | 52nd Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/69/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Hawkes Bay on 20 April 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
