| Regimental number | 1612 |
| Place of birth | Forbes New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Hillston, Lachlan River, New South Wales |
| Marital status | Single |
| Age at embarkation | 37 |
| Next of kin | Mother, Mrs M Purcell, Hillston, Lachlan River, New South Wales |
| Enlistment date | 31 December 1914 |
| Date of enlistment from Nominal Roll | 28 December 1914 |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 3rd Reinforcement |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A49 Seang Choon on 13 February 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Battalion |
| Fate | Returned to Australia 13 February 1917 |