| Regimental number | 4099 |
| Place of birth | Stonehenge New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Glen Innes, New South Wales |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Mother, Mrs R Doolan, Macquarie Street, Glen Innes, New South Wales |
| Enlistment date | 23 August 1915 |
| Date of enlistment from Nominal Roll | 22 September 1915 |
| Rank on enlistment | Private |
| Unit name | 20th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/37/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on 11 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 61st Battalion |
| Fate | Returned to Australia 21 July 1917 |