| Regimental number | 3764 |
| Place of birth | Tunbridge Tasmania |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Tunbridge, Tasmania |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, Pat Farrelly, Tunbridge, Tasmania |
| Enlistment date | |
| Rank on enlistment | Driver |
| Unit name | Infantry Brigade 7, Field Ambulance 7, Section C |
| AWM Embarkation Roll number | 26/50/1 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A11 Ascanius on |