| Regimental number | 1623 |
| Place of birth | Clermont Queensland |
| Religion | Roman Catholic |
| Occupation | Stockman |
| Address | Rockhampton, Queensland |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs Annie Louisa Conroy, Sandy Creek, Clermont, Queensland |
| Enlistment date | 30 December 1915 |
| Rank on enlistment | Private |
| Unit name | 52nd Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/69/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Hawkes Bay on 20 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 52nd Battalion |
| Fate | Returned to Australia 6 June 1918 |