| Regimental number | 9316 |
| Place of birth | Bathurst New South Wales |
| Religion | Roman Catholic |
| Occupation | Fettler |
| Address | 46 Seymour Street, Bathurst, New South Wales |
| Marital status | Single |
| Age at embarkation | 44 |
| Next of kin | Sister, Miss Sarah Leary, 46 Seymour Street, Bathurst, New South Wales |
| Enlistment date | 26 July 1915 |
| Rank on enlistment | Private |
| Unit name | Dermatological Hospital Reinforcement 2 |
| AWM Embarkation Roll number | 26/69/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A70 Ballarat on 16 February 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Australian Dermatological Hospital |
| Fate | Returned to Australia 16 March 1918 |
