| Regimental number | 496 |
| Place of birth | Winton Victoria |
| Religion | Roman Catholic |
| Occupation | Fettler |
| Address | Kurri Kurri, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Bridget Cassidy, Hopetown Street, Kurri Kurri, New South Wales |
| Enlistment date | 15 January 1916 |
| Rank on enlistment | Private |
| Unit name | 34th Battalion, B Company |
| AWM Embarkation Roll number | 23/51/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on 2 May 1916 |
| Rank from Nominal Roll | Private |