| Regimental number | 4997 |
| Place of birth | Surry Hills New South Wales |
| Religion | Roman Catholic |
| Occupation | Cordialmaker |
| Address | 28 Woods Lane, East Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, P Fahey, 28 Woods Lane, East Sydney, New South Wales |
| Enlistment date | 13 January 1916 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/36/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A31 Ajana on 5 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Company, Australian Army Service Corps |
| Fate | Returned to Australia 7 July 1919 |
