| Regimental number | 6413 |
| Place of birth | Leichhardt New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Leichhardt, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, R D Dominey, 557 Balmain Road, Leichhardt, Sydney, New South Wales |
| Enlistment date | 16 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 24 August 1918 |