| Regimental number | 5436 |
| Place of birth | Clare Ireland |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | All Nations Hotel, Wagga, New South Wales |
| Marital status | Single |
| Age at embarkation | 44 |
| Next of kin | Mother, Mrs M Ringrose, Limerick PO, Mellik, County Clare, Ireland |
| Enlistment date | 24 December 1915 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/19/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A4 Ceramic on 14 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Australian Auxiliary Hospital |
| Fate | Returned to Australia 16 June 1919 |