| Regimental number | 2427 |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 44 |
| Next of kin | Friend, Mr Henry Fitzherbert Palmer Kelly, Lucinda, Queensland |
| Enlistment date | 15 May 1916 |
| Rank on enlistment | Private |
| Unit name | 41st Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/58/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A48 Boonah on 21 October 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
