| Regimental number | 5058 |
| Place of birth | Molong New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | c/o Mrs J Mace 79 Piper Street, Bathurst, New South Wales |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Mother, Mrs B Murphy, Piper Street, Bathurst, New South Wales |
| Enlistment date | 1 December 1915 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/34/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A55 Kyarra on 5 June 1916 |
| Regimental number from Nominal Roll | 5058A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Light Trench Mortar Battery |
| Fate | Returned to Australia 11 May 1919 |
