| Regimental number | 3414 |
| Religion | Roman Catholic |
| Occupation | Stockman |
| Address | 78 Portman Street, Zetland, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 42 |
| Next of kin | Sister, Mrs William Bergan, 78 Portman Street, Zetland, Sydney, New South Wales |
| Enlistment date | 10 April 1917 |
| Date of enlistment from Nominal Roll | 22 August 1914 |
| Unit name | 7th Light Horse Regiment, 29th Reinforcement |
| AWM Embarkation Roll number | 10/12/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A55 Kyarra on 3 September 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 7th Light Horse Regiment |
| Fate | Returned to Australia 28 December 1917 |
