| Regimental number | 8214 |
| Religion | Roman Catholic |
| Occupation | Cigarmaker |
| Address | South Kensington, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs M Sullivan, 91 Ormond Street, South Kensington, Victoria |
| Enlistment date | 10 July 1915 |
| Rank on enlistment | Private |
| Unit name | 1 Australian General Hospital 1-6 Special Reinforcements |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 11 October 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps Details |
| Fate | Returned to Australia 17 March 1917 |
