| Regimental number | 1210 |
| Place of birth | Adamstown New South Wales |
| Religion | Roman Catholic |
| Occupation | Bootmaker |
| Address | Cardiff, New South Wales |
| Marital status | Married |
| Age at embarkation | 21 |
| Next of kin | Wife, Mrs V Driscoll, c/o Mrs O'Keefe, Bunn Street, Wallsend, New South Wales |
| Enlistment date | 8 May 1916 |
| Date of enlistment from Nominal Roll | 15 May 1916 |
| Rank on enlistment | Private |
| Unit name | Light Trench Mortar Battery, Reinforcement 2 |
| AWM Embarkation Roll number | 13/130/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 7 October 1916 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 1st Field Artillery Brigade |
| Fate | Returned to Australia 31 May 1919 |
