| Regimental number | 484 |
| Place of birth | Mudgee New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Mortimer Street, Mudgee, New South Wales |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Mother, Mrs Ellen Mullen, Mortimer Street, Mudgee, New South Wales |
| Enlistment date | 4 December 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Pioneer Battalion, B Company |
| AWM Embarkation Roll number | 14/15/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A62 Wandilla on 6 June 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Signal Company |
| Fate | Returned to Australia 11 May 1919 |
