| Regimental number | 6039 |
| Place of birth | Camperdown New South Wales |
| Religion | Roman Catholic |
| Occupation | Clerk |
| Address | Coogee, New South Wales |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs M Phegan, 'Mongolia', Woolsley Road, Coogee, New South Wales |
| Enlistment date | 29 May 1915 |
| Rank on enlistment | Private |
| Unit name | 1 Australian General Hospital 1-6 Special Reinforcements |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 11 October 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
