| Regimental number | 66507 |
| Place of birth | Yass New South Wales |
| Religion | Roman Catholic |
| Occupation | Coal lumper |
| Address | North Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 43 |
| Next of kin | Wife, Mrs A O'Leary, 25 Brisbane Street, North Sydney, New South Wales |
| Enlistment date | 1 May 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 21 |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A36 Boonah on 22 October 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
