| Regimental number | 5089 |
| Place of birth | Inverell New South Wales |
| Religion | Roman Catholic |
| Occupation | Motor driver |
| Address | Vivian Street, Inverell, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs. S. Egan, Vivian Street, Inverell, New South Wales |
| Enlistment date | 3 August 1915 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/21/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Makarini on 1 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Battalion |
| Fate | Returned to Australia 31 March 1919 |