| Regimental number | 13633 |
| Religion | Church of England |
| Occupation | Wood machinist |
| Address | Sunnybank, Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs P McInerney, Tablet Street, Rockdale, Sydney, New South Wales |
| Enlistment date | 1 December 1915 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, Special Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A61 Kanowna on 29 March 1916 |
| Rank from Nominal Roll | Private |
| Fate | Returned to Australia 6 May 1919 |
| Miscellaneous details (Nominal Roll) | No. 3 Auxiliary Hospital |
