| Regimental number | 2650 |
| Place of birth | Cloncurry Queensland |
| Religion | Roman Catholic |
| Occupation | Police constable |
| Address | Forsayth, via Cairns, Queensland |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mary Helena Haylan, Forsayth, via Cairns, Queensland |
| Enlistment date | 19 February 1915 |
| Rank on enlistment | Farrier Corporal |
| Unit name | 4th Light Horse Field Ambulance |
| Embarkation details | Unit embarked from on board HMAT A30 Borda on 16 June 1915 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 12th Field Ambulance |
| Fate | Returned to Australia 28 February 1919 |
