| Regimental number | 3621 |
| Place of birth | Burra, South Australia |
| Religion | Roman Catholic |
| Occupation | Agent |
| Address | Gawler, South Australia |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Mother, Mrs Mary Elizabeth Carmody, 239 Unley Road, Unley, South Australia |
| Enlistment date | 17 October 1916 |
| Rank on enlistment | Private |
| Unit name | 50th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/67/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 4 August 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 50th Battalion |
| Fate | Returned to Australia 15 June 1919 |
