| Regimental number | 1091 |
| Place of birth | East Ham England |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Marital status | Single |
| Age at embarkation | 36 |
| Next of kin | Timothy Coughlan, Eastham, Borking, Essex, England |
| Enlistment date | 8 September 1914 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, B Company |
| AWM Embarkation Roll number | 23/21/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 20 October 1914 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 56th Battalion |
| Fate | Returned to Australia 10 July 1916 |
