| Regimental number | 1622 |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Portriff, Tasmania |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mrs P McCarthy, Portriff, Tasmania |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/29/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A54 Runic on |
| Fate | No details of fate entered on Nominal Roll |