| Regimental number | 2037 |
| Religion | Roman Catholic |
| Occupation | Cook |
| Address | Alexandra, New South Wales |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs Elizabeth O'Shea, 2 Flat, London House, Lawrence Street, Alexandra, New South Wales |
| Enlistment date | 12 December 1916 |
| Rank on enlistment | Private |
| Unit name | December 1916 Reinforcements |
| AWM Embarkation Roll number | 11/14/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Karmala on 3 February 1917 |
| Rank from Nominal Roll | Trooper |
| Unit from Nominal Roll | 4th Light Horse Field Ambulance |
| Fate | Returned to Australia 11 July 1917 |
