| Regimental number | 1560 |
| Religion | Roman Catholic |
| Occupation | Tailor's assistant |
| Address | West Ipswich, Queensland |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs M O'Keeffe, Hooper Street, West Ipswich, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | MED26.65.3R3 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |