| Regimental number | 5082 |
| Place of birth | Cassilis New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Cassilis, New South Wales |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother, Mrs M Malone, Cassilis, New South Wales |
| Enlistment date | 10 August 1915 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/36/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A31 Ajana on 5 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Australian Auxiliary Hospital |
| Fate | Returned to Australia 21 July 1918 |