| Regimental number | 2113 |
| Place of birth | Warrnambool, Victoria |
| Religion | Roman Catholic |
| Occupation | Baker |
| Address | 103 Albert Street, Port Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Johanna Broderick, Albion House 147 Evans Street, Port Melbourne, Victoria |
| Enlistment date | 2 March 1915 |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/31/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A62 Wandilla on 17 June 1915 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | No 10 Company, Australian Army Service Corps |
| Fate | Returned to Australia 12 March 1918 |