| Regimental number | 2410A |
| Place of birth | Dubbo New South Wales |
| Religion | Roman Catholic |
| Occupation | Station hand |
| Address | Lithgow, New South Wales |
| Marital status | Single |
| Age at embarkation | 40 |
| Next of kin | Sister-in-Law, Mrs Bridget Mary Maxwell, Late Bank of NSW, Lithgow, New South Wales |
| Enlistment date | 11 June 1915 |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/26/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A9 Shropshire on 20 August 1915 |
| Regimental number from Nominal Roll | 2409 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 47th Battalion |
| Fate | Returned to Australia 4 May 1917 |
