| Regimental number | 2803 |
| Place of birth | Rockhampton Queensland |
| Religion | Roman Catholic |
| Occupation | Stockman |
| Address | Eton, Mackay, Queensland |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Uncle, Bernard Farrelly, Oakenden, Eton, Queensland |
| Enlistment date | 29 May 1916 |
| Rank on enlistment | Private |
| Unit name | 41st Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/58/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A64 Demosthenes on 23 December 1916 |
| Regimental number from Nominal Roll | 2936 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Machine Gun Battalion |
| Fate | Returned to Australia 27 May 1919 |
