| Regimental number | 717 |
| Place of birth | Ballyhaunas Ireland |
| Religion | Roman Catholic |
| Occupation | Student |
| Address | Presbytery, Crookwell, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Susan Fallon, Ballyhannon, County Mayo, Ireland |
| Enlistment date | 2 February 1917 |
| Rank on enlistment | Private |
| Unit name | 14th Machine Gun Company, Reinforcement 13 |
| AWM Embarkation Roll number | 24/19/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A29 Suevic on 21 June 1917 |
| Fate | No details of fate entered on Nominal Roll |