| Regimental number | 67922 |
| Place of birth | East Maitland New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Fawcett Street, Mayfield, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs M Roarty, Little Brisbane Street, East Maitland, New South Wales |
| Enlistment date | 20 June 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 27 |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 2 November 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
