| Regimental number | 4574 |
| Place of birth | Sandy Creek New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Port Kembla, New South Wales |
| Marital status | Single |
| Age at embarkation | 44 |
| Next of kin | Father, P Roughan, Sandy Creek, via Muswellbrook, New South Wales |
| Enlistment date | 28 August 1915 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/19/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Osterley on 15 January 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Battalion |
| Fate | Returned to Australia 16 October 1916 |