| Regimental number | 2115 |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Model Lodging House, Kent Street, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Sister, Agnes O'Brien, Perkin Mills, Quebec, Canada |
| Enlistment date | 29 March 1916 |
| Date of enlistment from Nominal Roll | 24 March 1916 |
| Rank on enlistment | Private |
| Unit name | 36th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/53/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on 24 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 36th Battalion |
| Fate | Returned to Australia 27 July 1917 |