| Regimental number | 1516 |
| Place of birth | Carlton Victoria |
| Religion | Roman Catholic |
| Occupation | Driver |
| Address | 9 Grosvenor Street, Moonee Ponds, Victoria |
| Marital status | Single |
| Age at embarkation | 36 |
| Next of kin | Mother, Mrs. Frances Shannon, 9 Grosvenor Street, Moonee Ponds, Victoria |
| Enlistment date | 12 July 1915 |
| Rank on enlistment | Private |
| Unit name | 9th Light Horse Regiment, 12th Reinforcement |
| AWM Embarkation Roll number | 10/14/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A40 Ceramic on 23 November 1915 |
| Regimental number from Nominal Roll | 1516A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Light Horse Regiment |
| Fate | Returned to Australia 2 September 1916 |
