| Regimental number | 6503 |
| Place of birth | County Clare Ireland |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | C/o Mrs E Rodgers, Southern Cross, Charter's Towers, Queensland |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Aunt, Mrs Rodgers, Southern Cross via Charter's Towers, Queensland |
| Enlistment date | 26 June 1916 |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/26/4 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A36 Boonah on 21 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Battalion |
| Fate | Returned to Australia 4 October 1918 |
