| Regimental number | 3927 |
| Place of birth | Melbourne Victoria |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | North Fremantle, Western Australia |
| Marital status | Married |
| Age at embarkation | 41 |
| Next of kin | Wife, Mrs Mary Regan, 26 Swan Street, North Fremantle, Western Australia |
| Enlistment date | 13 August 1915 |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/45/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A28 Miltiades on 12 February 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 51st Battalion |
| Fate | Returned to Australia 8 April 1917 |