| Regimental number | 1119 |
| Religion | Roman Catholic |
| Occupation | Selector |
| Address | Tara, Queensland |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs Margaret Jane Reilly, Parade Farm, Condamine via Miles, Queensland |
| Enlistment date | 22 March 1916 |
| Rank on enlistment | Private |
| Unit name | 42nd Battalion, B Company |
| AWM Embarkation Roll number | 23/59/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on 5 June 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
