| Regimental number | 57921 |
| Place of birth | London England |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | c/o Mr Prentice, 445 King Street, Newtown, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Sister, Mrs M MacCarthy, 22 Thurse Road, Garret Lane, Tooting, London, SW |
| Enlistment date | 22 April 1918 |
| Rank on enlistment | Private |
| Unit name | Queensland Reinforcement 5 |
| AWM Embarkation Roll number | 23/111/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on 17 July 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 26th Battalion |
| Fate | Discharged 4 September 1919 |
