| Regimental number | 7111 |
| Place of birth | North Sydney New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | North Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs C Phelan, 274 West Street, North Sydney, New South Wales |
| Enlistment date | 2 September 1917 |
| Rank on enlistment | Private |
| Unit name | 18th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/35/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A38 Ulysses on 19 December 1917 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
