| Regimental number | 5596 |
| Place of birth | Sydney New South Wales |
| Religion | Roman Catholic |
| Occupation | French polisher |
| Address | Chapel Street, Belmore, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Annie Lysaght, Chapel Street, Belmore, New South Wales |
| Previous military service | 39th Infantry |
| Enlistment date | 14 March 1916 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/36/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 9 September 1916 |
| Regimental number from Nominal Roll | 5596A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 20th Battalion |
| Fate | Returned to Australia 3 September 1919 |