| Regimental number | 2622 |
| Place of birth | Wagga Wagga New South Wales |
| Religion | Roman Catholic |
| Occupation | Miner |
| Address | Wagga Wagga, New South Wales |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Mother, Mrs McCormick, Wagga Wagga, New South Wales |
| Enlistment date | 10 June 1915 |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/26/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A55 Kyarra on 16 August 1915 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 9th Battalion |
| Fate | Returned to Australia 15 April 1918 |
