| Regimental number | 9019 |
| Place of birth | Bendigo, Victoria |
| Religion | Roman Catholic |
| Occupation | Carpenter |
| Address | Lucan Street, Bendigo, Victoria |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Annie Egan, Lucan Street, Bendigo, Victoria |
| Enlistment date | 17 July 1915 |
| Rank on enlistment | Private |
| Unit name | Infantry Brigade 6,Field Ambulance 6, Reinforcement 9 |
| AWM Embarkation Roll number | 26/49/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 28 January 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 6th Field Ambulance |
| Fate | Returned to Australia 31 July 1919 |