| Regimental number | 2623 |
| Place of birth | Sydney New South Wales |
| Religion | Roman Catholic |
| Occupation | Van-driver |
| Address | 15 Walter Street, Waverley, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs Lydia Madden, 15 Walter Street, Waverley, Sydney, New South Wales |
| Enlistment date | 25 September 1916 |
| Rank on enlistment | Private |
| Unit name | 36th Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/53/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A24 Benalla on 9 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 36th Battalion |
| Fate | Returned to Australia 24 August 1918 |
