| Regimental number | 17696 |
| Place of birth | Sydney New South Wales |
| Religion | Roman Catholic |
| Occupation | Stevedore |
| Address | 21 Wood's lane, Darlinghurst, New South Wales |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Wife, Mrs Susan McCormac, 21 Wood's lane, Darlinghurst, New South Wales |
| Enlistment date | 20 November 1916 |
| Rank on enlistment | Sapper |
| Unit name | March 1917 Reinforcements |
| AWM Embarkation Roll number | 14/42/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A74 Marathon on 10 May 1917 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 11th Field Company Engineers |
| Fate | Returned to Australia 9 February 1919 |
