| Regimental number | 3204 |
| Religion | Roman Catholic |
| Occupation | Miner |
| Address | Ballarat South, Victoria |
| Marital status | Married |
| Age at embarkation | 26 |
| Next of kin | Wife, Mrs Isabelle McCarthy, 37 Clexton Street off Creswick Road, Ballarat, Victoria |
| Enlistment date | 12 May 1916 |
| Rank on enlistment | Private |
| Unit name | 57th Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/74/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A7 Medic on 16 December 1916 |
| Fate | No details of fate entered on Nominal Roll |
