| Regimental number | 19627 |
| Place of birth | Cork Ireland |
| Religion | Roman Catholic |
| Occupation | Soldier |
| Address | Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs E. Quirke, 10 Paul's Avenue, Cork, Ireland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, October 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT Canberra on |