| Regimental number | 5628 |
| Place of birth | Sydney New South Wales |
| Religion | Roman Catholic |
| Occupation | Farmer |
| Address | Lismore, New South Wales |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Sister, Mrs Annie O'Sullivan, 109 Underwood Street, Paddington, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 25th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/42/4 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A46 Clan Macgillivray on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 25th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
