| Regimental number | 2005 |
| Place of birth | Avoca Victoria |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Sister, Mrs Elizabeth O'Sullivan, Kanowna, Western Australia |
| Enlistment date | 24 June 1915 |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/45/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A68 Anchises on 2 September 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 28th Battalion |
| Fate | Returned to Australia 13 August 1918 |