| Regimental number | 1067 |
| Place of birth | North Brighton Victoria |
| Religion | Roman Catholic |
| Occupation | Motor and driver mechanic |
| Address | c/o Mrs McMahon, Bradbury Street, Ballarat East, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Sister, Miss Lily Shannon, c/o Mrs McMahon, Bradbury Street, Ballarat East, Victoria |
| Enlistment date | 5 July 1915 |
| Rank on enlistment | Private |
| Unit name | 8th Light Horse Regiment, 7th Reinforcement |
| AWM Embarkation Roll number | 10/13/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A57 Malakuta on 23 September 1915 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | Australian Army Service Corps |
| Fate | Returned to Australia 10 July 1919 |