| Regimental number | 2051 |
| Place of birth | Lismore New South Wales |
| Religion | Roman Catholic |
| Occupation | Wharf labourer |
| Address | Manly, Queensland |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs Isabella Clancy, Merivale Street, South Brisbane, Queensland |
| Enlistment date | 9 May 1916 |
| Rank on enlistment | Private |
| Unit name | 41st Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/58/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A46 Clan Macgillivray on 7 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 41st Battalion |
| Fate | Returned to Australia 13 June 1919 |