| Regimental number | 1804 |
| Place of birth | Orange New South Wales |
| Religion | Roman Catholic |
| Occupation | Driller |
| Address | Lochano, Smith Street, Bexley, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mrs T O'Keefe, Lochano, Smith Street, Bexley, New South Wales |
| Enlistment date | 28 January 1915 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/21/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A9 Shropshire on 17 March 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Battalion |
| Fate | Returned to Australia 25 August 1917 |
| Date of death | 17 October 1946 |
| Place of burial | Botany Cemetery |
