| Regimental number | 8790 |
| Place of birth | Farrell Flat South Australia |
| Religion | Roman Catholic |
| Occupation | Railway clerk |
| Address | Morgan, South Australia |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs B McMahon, Morgan, South Australia |
| Enlistment date | 3 August 1915 |
| Date of enlistment from Nominal Roll | 30 August 1915 |
| Rank on enlistment | Private |
| Unit name | Field Ambulance 3, Reinforcement 14 |
| AWM Embarkation Roll number | 26/46/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A69 Warilda on 10 February 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Field Ambulance |
| Fate | Returned to Australia 2 June 1919 |