| Regimental number | R6501 |
| Religion | Roman Catholic |
| Occupation | Chemist |
| Address | West Subiaco, Western Australia |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs M E Brennan, 130 Onslow Road, West Subiaco, Western Australia |
| Enlistment date | 16 March 1915 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, October 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT Canberra on 23 November 1917 |
| Miscellaneous details (Nominal Roll) | see other |
