| Regimental number | 3291 |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | 105 Hancock Street, Rozelle, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Sister, Miss M Coughlan,105 Hancock Street, Rozelle, Sydney, New South Wales |
| Enlistment date | 23 July 1915 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/21/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A17 Port Lincoln on 13 October 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
