| Regimental number | 12741 |
| Place of birth | Melbourne Victoria |
| Religion | Roman Catholic |
| Occupation | Butcher |
| Address | 291 Bulwarra Road, Ultimo, New South Wales |
| Marital status | Married |
| Age at embarkation | 40 |
| Next of kin | Wife, Mrs M L Shannon, 291 Bulwarra Road, Ultimo, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Army Service Corps Reinforcement 21 |
| AWM Embarkation Roll number | 25/105/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5rd Field BTCHY |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
