| Regimental number | 8084 |
| Place of birth | Newcastle New South Wales |
| Religion | Roman Catholic |
| Occupation | Chemist assistant |
| Address | 5 Bay Street, Balmain, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, M McGivern, 5 Bay Street, Balmain, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 2nd Australian General Hospital, Special Reinforcements |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A17 Port Lincoln on |
| Rank from Nominal Roll | Private |
| Fate | Returned to Australia |
| Miscellaneous details (Nominal Roll) | 13th Field Ambulance |
| Other details |
Medals: 1914-15 Star, British War Medal, Victory Medal |