| Regimental number | 1419 |
| Place of birth | Maryborough Queensland |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | ... |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Sister, Mrs Annie Hanlon, 10 Winter Street, Malvern, Melbourne, Victoria |
| Enlistment date | 14 November 1914 |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 1st Reinforcement |
| AWM Embarkation Roll number | 23/33/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A35 Berrima on 22 December 1914 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 16th Battalion |
| Fate | Returned to Australia 17 March 1916 |
