| Regimental number | 9130 |
| Place of birth | St Peters New South Wales |
| Religion | Roman Catholic |
| Occupation | Tramway signalman |
| Address | 33 Maida Street, Leichhardt |
| Marital status | Married |
| Age at embarkation | 41 |
| Next of kin | Wife, Mrs Annie Condon, 33 Maida Street, Leichhardt |
| Enlistment date | 19 August 1915 |
| Rank on enlistment | Corporal |
| Unit name | Dermatological Hospital |
| AWM Embarkation Roll number | 26/69/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A61 Kanowna on 22 December 1915 |
| Rank from Nominal Roll | Staff Sergeant |
| Unit from Nominal Roll | 1st Australian Dermatological Hospital |
| Fate | Returned to Australia 8 September 1919 |