| Regimental number | 7612 |
| Place of birth | Sydney New South Wales |
| Religion | Roman Catholic |
| Occupation | Soldier |
| Address | General Post Office, Brisbane, Queensland |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs. V. Flattery, 23 Broughton Street, Paddington,. New South Wales |
| Enlistment date | 12 March 1917 |
| Rank on enlistment | Warrant Officer (Class I) |
| Unit name | 1st Battalion, 25th Reinforcement |
| AWM Embarkation Roll number | 23/18/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A74 Marathon on 10 May 1917 |
| Rank from Nominal Roll | Warrant Officer (Class I) |
| Unit from Nominal Roll | 1st Battalion |
| Fate | Returned to Australia 29 August 1918 |
