| Regimental number | 57916 |
| Place of birth | London England |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | 18 Arundel Street, Forest Lodge, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Father, M Shea, 32 Wade Street, Poplar, London, England |
| Enlistment date | 17 June 1918 |
| Rank on enlistment | Private |
| Unit name | Queensland Reinforcement 5 |
| AWM Embarkation Roll number | 23/111/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on 17 July 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Battalion |
| Fate | Returned to Australia 5 September 1919 |
