| Regimental number | 6809 |
| Place of birth | Sydney New South Wales |
| Religion | Roman Catholic |
| Occupation | Boilermakers Assistant |
| Address | Moree, New South Wales |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Sister, Miss K Toomey, Paul Street, North Sydney, New South Wales |
| Enlistment date | 8 November 1915 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/21/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Port Nicholson on 8 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Battalion |
| Fate | Returned to Australia 10 March 1918 |
