| Regimental number | 4877 |
| Place of birth | Waaia Victoria |
| Religion | Roman Catholic |
| Occupation | Farmer |
| Address | Bogan Gate, New South Wales |
| Marital status | Married |
| Age at embarkation | 36 |
| Next of kin | Wife, Mrs Eliza Harriot McCarthy, The Grange, Bogan Gate, New South Wales |
| Enlistment date | 3 July 1917 |
| Rank on enlistment | Private |
| Unit name | 1st Pioneer Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 14/13/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A38 Ulysses on 19 December 1917 |
