| Regimental number | 3413 |
| Place of birth | Sydney New South Wales |
| Religion | Roman Catholic |
| Occupation | Driver |
| Address | 105 Union Street, North Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs C Regan, 105 Union Street, North Sydney, New South Wales |
| Enlistment date | 24 July 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/20/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 2 November 1915 |
| Regimental number from Nominal Roll | 3413A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 22 July 1917 |
