| Regimental number | 5428 |
| Place of birth | Brisbane Queensland |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Isi, Central Mill, Childers, Queensland |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs M A Maloney, Isis Central Mill, Childers, Queensland |
| Enlistment date | 5 January 1916 |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/26/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Hawkes Bay on 20 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Australian General Hospital |
| Fate | Returned to Australia 23 June 1919 |