| Regimental number | 5503 |
| Place of birth | Berrima New South Wales |
| Religion | Roman Catholic |
| Occupation | Miner |
| Address | Taralba, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs E Casey, Taralba, New South Wales |
| Previous military service | 16th Infantry |
| Enlistment date | 1 May 1916 |
| Rank on enlistment | Sapper |
| Unit name | Tunnelling Companies, October 1916, Reinforcements |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 25 October 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 1st Tunnelling Company |
| Fate | Returned to Australia 31 May 1919 |
