| Regimental number | 8409 |
| Place of birth | Adelaide South Australia |
| Religion | Roman Catholic |
| Occupation | Cook |
| Address | 157 Grote Street, Adelaide, South Australia |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs Ruth Minahan, c/o Mrs Mylus, Glen Osmond Road, Parkside, South Australia |
| Enlistment date | 23 July 1915 |
| Date of enlistment from Nominal Roll | 21 July 1915 |
| Rank on enlistment | Private |
| Unit name | Field Ambulance 3, Reinforcement 13 |
| AWM Embarkation Roll number | 26/46/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on 11 January 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Field Smb |
| Fate | Returned to Australia 13 April 1919 |
