| Regimental number | 2170 |
| Place of birth | Campbell Town New South Wales |
| Religion | Roman Catholic |
| Occupation | Fettler |
| Address | Station Street, Arncliffe, New South Wales |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs Mary Ann Keogh, Station Street, Arncliffe, New South Wales |
| Enlistment date | 13 January 1916 |
| Rank on enlistment | Private |
| Unit name | 55th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/72/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Port Sydney on 4 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Squadron Australian Flying Corps |
| Fate | Returned to Australia 2 June 1919 |
