| Regimental number | 3625 |
| Place of birth | Sydney New South Wales |
| Religion | Roman Catholic |
| Occupation | Painter |
| Address | 10 Glebe Street, Glebe, New South Wales |
| Marital status | Married |
| Age at embarkation | 36 |
| Next of kin | Wife, Mrs Margaret Reilly, 92 Darling Street, Glebe, New South Wales |
| Enlistment date | 15 January 1916 |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/47/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A70 Ballarat on 5 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 30th Battalion |
| Fate | Returned to Australia 8 January 1919 |
