| Regimental number | 6864 |
| Place of birth | Wagga Wagga New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | West Wyalong, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, M McCormick, Deebles Tank, West Wyalong, New South Wales |
| Enlistment date | 1 October 1916 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/20/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Port Nicholson on 8 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Pay Corps |
| Fate | Returned to Australia 22 July 1919 |