
| Regimental number | 9574 |
| Place of birth | Gunning New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Hunter Street, West Newcastle, New South Wales |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, A Toohey, Hunter Street, West Newcastle, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 2nd Australian General Hospital |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 2nd Australian General Hospital |
| Fate | Returned to Australia |