| Regimental number | 5321 |
| Place of birth | Teesdale, Victoria |
| Religion | Roman Catholic |
| Occupation | Farmer |
| Address | Ultima, Victoria |
| Marital status | Single |
| Age at embarkation | 43 |
| Next of kin | Sister, Miss Elizabeth Cleary, Ultima, Victoria |
| Enlistment date | 2 March 1916 |
| Rank on enlistment | Private |
| Unit name | 23rd Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/40/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A28 Miltiades on 1 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Australian Dermatological Hospital |
| Fate | Returned to Australia 19 October 1917 |
