| Regimental number | 67217 |
| Place of birth | Newcastle New South Wales |
| Religion | Roman Catholic |
| Occupation | Coal lumper |
| Address | 17 Wells Street, Annandale, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Sister, Mrs E Kealer, 17 Wells Street, Annandale, Sydney, New South Wales |
| Enlistment date | 2 September 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 24 |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Wyreema on 14 October 1918 |
| Fate | No details of fate entered on Nominal Roll |
