| Regimental number | 6991 |
| Religion | Roman Catholic |
| Occupation | Farmer |
| Address | Cowes, Phillip Island, Victoria |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Father, P Dominick, 19 Richardson Street, Albert Park, Victoria |
| Enlistment date | 4 October 1916 |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 23rd Reinforcement |
| AWM Embarkation Roll number | 23/23/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A20 Hororata on 23 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Battalion |
| Fate | Returned to Australia 8 November 1918 |
