| Regimental number | 6527 |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | c/o Mrs Quinn, Great Western Hotel, Orange, New South Wales |
| Marital status | Single |
| Age at embarkation | 36 |
| Next of kin | Mother, Mrs M Mallon, Lidser Hill, via Orange, New South Wales |
| Enlistment date | 26 April 1916 |
| Date of enlistment from Nominal Roll | 28 March 1916 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/21/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A60 Aeneas on 30 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Battalion |
| Fate | Returned to Australia 16 July 1917 |
