| Regimental number | 2211 |
| Place of birth | Koroit, Victoria |
| Religion | Roman Catholic |
| Occupation | Driver |
| Address | 103 Albert Street, Port Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs J Broderick, 147 Evans Street, Port Melbourne, Victoria |
| Enlistment date | 11 September 1914 |
| Place of enlistment | Melbourne, Victoria |
| Rank on enlistment | Driver |
| Unit name | Australian Reserve Park 1, Company 10 |
| AWM Embarkation Roll number | 25/34/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A26 Armadale on 20 October 1914 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | No 10 Company, Australian Army Service Corps |
| Fate | Returned to Australia 23 October 1918 |
