| Regimental number | 6815 |
| Place of birth | Young New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | 67 MacArthur Street, Ultimo, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 23 |
| Next of kin | Wife, Mrs. O C Regan, Crown Hotel, Bulwarra Road, Ultimo, Sydney, New South Wales |
| Enlistment date | 11 September 1916 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/20/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Port Nicholson on 8 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Battalion |
| Fate | Returned to Australia 14 January 1919 |