| Regimental number | 5009 |
| Place of birth | Bathurst New South Wales |
| Religion | Church of England |
| Occupation | Engine turner |
| Address | c/o Mrs E Flanagan 31 George Street, Bathurst, New South Wales |
| Marital status | Single |
| Age at embarkation | 38 |
| Next of kin | Mother, Mrs E Flanagan, 31 George Street, Bathurst, New South Wales |
| Enlistment date | 29 November 1915 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/34/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A55 Kyarra on 5 June 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 54th Battalion |
| Fate | Returned to Australia 12 December 1918 |
