| Regimental number | 5431 |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Post Office, Harden, New South Wales |
| Marital status | Single |
| Age at embarkation | 40 |
| Next of kin | Sister, Miss K O'Sullivan, Kiheri Peel Street, Kirribilli North Sydney, New South Wales |
| Enlistment date | 8 December 1915 |
| Date of enlistment from Nominal Roll | 16 December 1915 |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/30/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A71 Nestor on 9 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 13th Battalion |
| Fate | Returned to Australia 4 May 1917 |