| Regimental number | 5122 |
| Place of birth | West Tamworth New South Wales |
| Religion | Roman Catholic |
| Occupation | Packman, foundry |
| Address | West Tamworth, New South Wales |
| Marital status | Married |
| Age at embarkation | 20 |
| Next of kin | Wife, Mrs Francis O'Grady, c/o Mrs M Kaerns, West Tamworth, New South Wales |
| Previous military service | 13th Infantry |
| Enlistment date | 6 March 1917 |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/47/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A74 Marathon on 10 May 1917 |
| Regimental number from Nominal Roll | 5122A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 56th Battalion |
| Fate | Returned to Australia 22 July 1919 |
