| Regimental number | 28477 |
| Place of birth | Talbotville Victoria |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | 480 Hay Street, Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 37 |
| Next of kin | Mother, Mrs M Culhane, Talbotville, North Gippsland, Victoria |
| Enlistment date | 31 March 1916 |
| Rank on enlistment | Driver |
| Unit name | Divisional Ammunition Column 3, Reinforcement 5 |
| AWM Embarkation Roll number | 25/91/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 25 October 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 4th Division Ammunition Column |
| Fate | Returned to Australia 4 June 1919 |
