| Regimental number | 6859 |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Ballarat, Victoria |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs Mary McInerney, Wilson Street, Ballarat, Victoria |
| Enlistment date | 8 February 1917 |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/38/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on 11 May 1917 |
| Rank from Nominal Roll | Private |
| Fate | Returned to Australia 27 August 1917 |
| Miscellaneous details (Nominal Roll) | 21st Bn |