| Regimental number | 1925 |
| Place of birth | Murrumburrah New South Wales |
| Religion | Roman Catholic |
| Occupation | Station hand |
| Address | Cunnamulla, Queensland |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Sister, Mrs Mary Jane O'Keefe, Richmond, Hawkesbury River, New South Wales |
| Enlistment date | 6 January 1916 |
| Rank on enlistment | Private |
| Unit name | 4th Pioneer Battalion, Reinforcement 2 |
| AWM Embarkation Roll number | 14/16/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Mooltan on 12 April 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |