| Regimental number | 5436 |
| Place of birth | Taralga New South Wales |
| Religion | Roman Catholic |
| Occupation | Farmer |
| Address | PO, Taralga, New South Wales |
| Marital status | Single |
| Age at embarkation | 37 |
| Next of kin | Mother, Mrs M Quinn, C/o Mrs J Quinn, Taralga, New South Wales |
| Enlistment date | 14 November 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/18/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A49 Ceramic on 14 April 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 53rd Battalion |
| Fate | Returned to Australia 22 January 1919 |