| Regimental number | 6105 |
| Place of birth | Athlone Ireland |
| Religion | Roman Catholic |
| Occupation | Navvy |
| Address | Wagga Wagga, New South Wales |
| Marital status | Married |
| Age at embarkation | 36 |
| Next of kin | Wife, Mrs Rossane Rafferty, Wagga Wagga, New South Wales |
| Enlistment date | 9 October 1916 |
| Rank on enlistment | Private |
| Unit name | 23rd Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/40/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A8 Argyllshire on 31 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 23rd Battalion |
| Fate | Returned to Australia 24 January 1919 |