| Regimental number | 2550 |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Hovell Street, Cootamundra, New South Wales |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs Mary Hynes, Hovell Street, Cootamundra, New South Wales |
| Enlistment date | 10 April 1917 |
| Rank on enlistment | Private |
| Unit name | 12th Light Horse Regiment, 22nd Reinforcement |
| AWM Embarkation Roll number | 10/17/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A73 Commonwealth on 2 November 1917 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |