| Regimental number | 3863 |
| Place of birth | Moonbi New South Wales |
| Occupation | Labourer |
| Address | Peel Street, Tamworth, New South Wales |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs A M McShane, Tamworth, New South Wales |
| Enlistment date | 10 August 1915 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/21/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 30 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Battalion |
| Fate | Returned to Australia 1 April 1919 |
