| Regimental number | 1905 |
| Religion | Roman Catholic |
| Occupation | Fitter |
| Address | East Perth, Western Australia |
| Marital status | Married |
| Age at embarkation | 46 |
| Next of kin | Wife, Mrs T J Conelly, 60 Zebina Street, East Perth, Western Australia |
| Enlistment date | 14 March 1917 |
| Rank on enlistment | Fitter |
| Unit name | Railway Unit, Section 5 |
| AWM Embarkation Roll number | 15/9/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on 11 May 1917 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |