| Regimental number | 5060 |
| Place of birth | Clara Ireland |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Boonarga, via Chinchilla, Queensland |
| Marital status | Single |
| Age at embarkation | 37 |
| Next of kin | Sister, Mrs. Maggie Fahey, Boonarga, via Chinchilla, Queensland |
| Enlistment date | 24 March 1917 |
| Rank on enlistment | Private |
| Unit name | 31st Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/48/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on 14 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 31st Battalion |
| Fate | Returned to Australia 1 February 1918 |
