| Regimental number | 3436 |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Inglewood, Queensland |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Sister, Miss Cis Scanlan, Post Office Hotel, Mackay, Queensland |
| Enlistment date | 28 February 1917 |
| Rank on enlistment | Private |
| Unit name | 41st Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/58/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on 14 June 1917 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
