| Regimental number | 15801 |
| Place of birth | Sydney New South Wales |
| Religion | Roman Catholic |
| Occupation | Platelayer |
| Address | Surry Hills, New South Wales |
| Marital status | Married |
| Age at embarkation | 42 |
| Next of kin | Wife, Mrs E J Dermody, 24 Cleveland Avenue, Surry Hills, New South Wales |
| Enlistment date | 26 January 1916 |
| Date of enlistment from Nominal Roll | 4 February 1916 |
| Rank on enlistment | Private |
| Unit name | October 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on 17 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps Details |
| Fate | Returned to Australia 31 July 1918 |