| Regimental number | 4262 |
| Place of birth | Goulburn New South Wales |
| Religion | Roman Catholic |
| Occupation | Miner |
| Address | Goldfields Hotel, Kalgoorlie, Western Australia |
| Marital status | Single |
| Age at embarkation | 44 |
| Next of kin | Sister, Elizabeth Tully, 49 Cantonment Street, Fremantle, Western Australia |
| Enlistment date | 5 January 1916 |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/45/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A38 Ulysses on 1 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 28th Battalion |
| Fate | Returned to Australia 4 May 1917 |