| Regimental number | 5436 |
| Place of birth | Bendigo Victoria |
| Religion | Roman Catholic |
| Occupation | Railway employee |
| Address | Kalgoorlie, Western Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs K Moran, Kurrawang, Western Australia |
| Enlistment date | 25 January 1916 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/28/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A60 Aeneas on 17 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Battalion |
| Fate | Returned to Australia 22 July 1917 |