| Regimental number | 6802 |
| Place of birth | Leeds, England |
| Religion | Roman Catholic |
| Occupation | Tailor |
| Address | Fitzroy |
| Marital status | Single |
| Age at embarkation | 38 |
| Next of kin | Mother, Mrs E. Corcoran, 9 Bexley Terrace, Leeds, England |
| Enlistment date | |
| Place of enlistment | Melbourne, Victoria |
| Rank on enlistment | Private |
| Unit name | 24th Battalion 19th Reinforcement |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on |