| Regimental number | 5483 |
| Place of birth | Wagga Wagga New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Yerong Creek, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, F Mulloy, PO, Yerong Creek, New South Wales |
| Enlistment date | 6 January 1916 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/19/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A4 Ceramic on 14 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Battalion |
| Fate | Returned to Australia 20 April 1919 |