| Regimental number | 3638A |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | 25 Wellington Road, Launceston, Tasmania |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs E Sullivan, 25 Wellington Road, Launceston, Tasmania |
| Enlistment date | 10 August 1915 |
| Rank on enlistment | Sapper |
| Unit name | No 1 Mining Corps, 4th Reinforcements |
| AWM Embarkation Roll number | 16/8/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Orontes on 16 August 1916 |
| Regimental number from Nominal Roll | 3638 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | Mining Corps |
| Fate | Returned to Australia 15 February 1918 |
| Miscellaneous details (Nominal Roll) | *Second entry both matched |