| Regimental number | 4106 |
| Place of birth | Liverpool England |
| Religion | Roman Catholic |
| Occupation | Packer |
| Address | Point Pass, South Australia |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Sister, Miss Ellen Dolan, 93 Shaw Street, Liverpool, England |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 27th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/44/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A60 Aeneas on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 27th Battalion |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |