| Regimental number | 4219 |
| Place of birth | West Maitland New South Wales |
| Religion | Church of England |
| Occupation | Coal lumper |
| Address | 3 Dibb Street, Miller's Point, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Wife, Mrs. H.M. Kerrigan, 3 Dibb Street, Miller's Point, Sydney, New South Wales |
| Enlistment date | 20 September 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/20/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A60 Aeneas on 20 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Machine Gun Battalion |
| Fate | Returned to Australia 12 April 1919 |