| Regimental number | 3021 |
| Place of birth | Laura, New Zealand |
| Religion | Roman Catholic |
| Occupation | Bush worker |
| Address | PO, Warwick, Queensland |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Aunt, Miss M Flynn, Middleton, County Cork, Ireland |
| Enlistment date | 4 May 1915 |
| Place of enlistment | Cairns, Queensland |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/26/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A69 Warilda on 5 October 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
