| Regimental number | 504 |
| Place of birth | Tumut New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Tumut Plains, Tumut, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Bridget Malone, Tumut Plains, Tumut, New South Wales |
| Enlistment date | 8 February 1916 |
| Date of enlistment from Nominal Roll | 7 February 1916 |
| Rank on enlistment | Private |
| Unit name | 36th Battalion, B Company |
| AWM Embarkation Roll number | 23/53/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 13 May 1916 |
| Regimental number from Nominal Roll | 504A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 33rd Battalion |
| Fate | Returned to Australia 18 January 1919 |
