| Regimental number | 61897 |
| Religion | Roman Catholic |
| Occupation | Fireman |
| Address | 442 Flinders Street, Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Aunt, Mrs B Tierney, 10 Hill Street, Wexford, Ireland |
| Enlistment date | 6 June 1918 |
| Rank on enlistment | Private |
| Unit name | 13th General (Victorian) Reinforcements |
| AWM Embarkation Roll number | 23/111/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board SS Zealandic on 5 October 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Effective abroad (still overseas) |
