| Regimental number | 3410 |
| Place of birth | Warialda New South Wales |
| Religion | Roman Catholic |
| Occupation | Stockman |
| Address | P.O., Emmerville, New South Wales |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife, Mrs. Elizabeth Coughlan, Strathbogie, Emmerville, New South Wales |
| Enlistment date | 5 April 1917 |
| Rank on enlistment | Private |
| Unit name | 6th Light Horse Regiment, 29th Reinforcement |
| AWM Embarkation Roll number | 10/11/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A55 Kyarra on 3 September 1917 |
| Rank from Nominal Roll | Staff Sergeant |
| Unit from Nominal Roll | 2nd Machine Gun Squadron |
| Fate | Returned to Australia 28 June 1919 |
