| Regimental number | 5109 |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | West Wyalong, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs M Darcy, Franklyn, Tasmania |
| Enlistment date | 4 March 1916 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/36/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A31 Ajana on 5 July 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
