| Regimental number | 11043 |
| Place of birth | Portland, Victoria |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Cootamundra, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Aunt, Mrs E O'Hara, 17 Gurner Street, St Kilda, Victoria |
| Enlistment date | 16 October 1915 |
| Date of enlistment from Nominal Roll | 26 October 1915 |
| Place of enlistment | Holsworthy, New South Wales |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 3, Reinforcement 14 |
| AWM Embarkation Roll number | 13/31/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Osterley on 15 January 1916 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 3rd Field Artillery Brigade |
| Fate | Returned to Australia 31 May 1919 |
