| Regimental number | 6039 |
| Religion | Roman Catholic |
| Occupation | Clerk |
| Address | Woolsley Road, 'Mongolia', Coogee, New South Wales |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs M Phegan, Woolsley Road, 'Mongolia', Coogee, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 2nd Australian General Hospital, Special Reinforcements |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A9 Shropshire on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
| Other details |
Medals: 1914-15 Star, British War Medal, Victory Medal |