| Regimental number | 2148 |
| Place of birth | Sydney New South Wales |
| Religion | Roman Catholic |
| Occupation | Wharfinger |
| Address | Moore Park, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Sister, Miss Mary Burke, Tattersalls' Hotel, Sydney, New South Wales |
| Enlistment date | 2 January 1917 |
| Rank on enlistment | Private |
| Unit name | December 1916 Reinforcements |
| AWM Embarkation Roll number | 11/14/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Karmala on 3 February 1917 |
| Regimental number from Nominal Roll | 2748 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Light Horse Field Ambulance |
| Fate | Returned to Australia 24 July 1919 |
