| Regimental number | 4084 |
| Place of birth | Maitland New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Tamworth, New South Wales |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Wife, Mrs Ellen Farrell, Glen Alpine, Werris Creek, New South Wales |
| Enlistment date | 3 February 1917 |
| Rank on enlistment | Private |
| Unit name | 1st Pioneer Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 14/13/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 16 June 1917 |
