| Regimental number | 6165 |
| Place of birth | Sydney New South Wales |
| Religion | Roman Catholic |
| Occupation | Cab driver |
| Address | 181 Devonshire Street, Surry Hills, New South Wales |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs Elsie Mary Sullivan, 181 Devonshire Street, Surry Hills, New South Wales |
| Enlistment date | 28 August 1916 |
| Date of enlistment from Nominal Roll | 16 August 1916 |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/38/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A19 Afric on 3 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 21st Battalion |
| Fate | Returned to Australia 20 October 1918 |