| Regimental number | 6784 |
| Place of birth | Kilmore Victoria |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | 129 Cecil Street, Williamstown, Victoria |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Aunt, Miss M Mahoney, 129 Cecil Street, Williamstown, Victoria |
| Enlistment date | 15 September 1916 |
| Date of enlistment from Nominal Roll | 5 September 1916 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/22/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 25 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Battalion |
| Fate | Returned to Australia 13 July 1919 |
