| Regimental number | 3883 |
| Religion | Roman Catholic |
| Occupation | Traveller |
| Address | Percy Terrace, Kilkenny, South Australia |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs Mary Predergast, Percy Terrace, Kilkenny, South Australia |
| Enlistment date | 22 October 1915 |
| Rank on enlistment | Private |
| Unit name | 27th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/44/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A28 Miltiades on 7 February 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |