| Regimental number | 6412 |
| Place of birth | Newtown New South Wales |
| Religion | Roman Catholic |
| Occupation | Mattress maker |
| Address | Redfern, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs E J Doherty, 54 Vine Street, Redfern, Sydney, New South Wales |
| Enlistment date | 20 October 1916 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/34/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A29 Suevic on 11 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 17th Battalion |
| Fate | Returned to Australia 25 November 1917 |