| Regimental number | 6143 |
| Place of birth | Gladstone New South Wales |
| Religion | Roman Catholic |
| Occupation | Farmer |
| Address | , Smithtown, Macleay River, New South Wales |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Mother, Mrs Margaret Reilly, Smithtown, Macleay River, New South Wales |
| Enlistment date | 19 June 1916 |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/39/4 |
| 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 | 22nd Battalion |
| Fate | Returned to Australia 21 April 1918 |