| Regimental number | 13402 |
| Place of birth | Brisbane Queensland |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Kilkenny, South Australia |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs L Bergin, Stafford Street, East Brisbane, Queensland |
| Enlistment date | 6 November 1915 |
| Rank on enlistment | Private |
| Unit name | March 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A61 Kanowna on 1 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Field Ambulance |
| Fate | Effective abroad (still overseas) |
