| Regimental number | 5103 |
| Place of birth | Sydney New South Wales |
| Religion | Roman Catholic |
| Occupation | Pipe moulder |
| Address | Maylands, Western Australia |
| Marital status | Married |
| Age at embarkation | 43 |
| Next of kin | Wife, Mrs Hannah Maria Tobin, Invermay, East Street, Maylands, Western Australia |
| Enlistment date | 13 March 1916 |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/45/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A48 Seang Bee on 18 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 28th Battalion |
| Fate | Returned to Australia 4 May 1917 |
