| Regimental number | 1920 |
| Place of birth | London England |
| Religion | Roman Catholic |
| Occupation | Fitter labourer |
| Address | c/o Miss A Donovan, 104 High Street, Poplar, London, England |
| Marital status | Single |
| Age at embarkation | 37 |
| Next of kin | Sister, Miss A Donovan, 104 High Street, Poplar, London, England |
| Enlistment date | 11 May 1915 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/36/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on 9 August 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Machine Gun Battalion |
| Fate | Returned to Australia 9 May 1917 |
