| Regimental number | 6866 |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Yea, Victoria |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs Kathleen 0'Connell, Lyon Street, Yeo, Victoria |
| Enlistment date | 5 February 1917 |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/38/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on 11 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Service Corps Details |
| Fate | Returned to Australia 31 July 1918 |
