| Regimental number | 4517 |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | 12 Boundary Street, North Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs Matilda McMahon, 12 Boundary Street, North Melbourne, Victoria |
| Enlistment date | 7 February 1916 |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/39/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT RMS Orontes on 29 March 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |