| Regimental number | 7012 |
| Place of birth | Ballarat Victoria |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | 25 Money Street, Perth, Western Australia |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs L I Kiernan, 25 Money Street, Perth, Western Australia |
| Enlistment date | 28 June 1916 |
| Date of enlistment from Nominal Roll | 27 June 1916 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 23rd Reinforcement |
| AWM Embarkation Roll number | 23/28/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A35 Berrima on 23 December 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Battalion |
| Fate | Returned to Australia 1 February 1918 |
