| Regimental number | 3119 |
| Place of birth | Cairns Queensland |
| Religion | Roman Catholic |
| Occupation | Miner |
| Address | Townsville, Queensland |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs C O'Brien, Gordon Avenue, Newtown, Toowoomba, Queensland |
| Enlistment date | 13 November 1916 |
| Rank on enlistment | Private |
| Unit name | 5th Light Horse Regiment, 24th Reinforcement |
| AWM Embarkation Roll number | 10/10/5 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A1 Hymettus on 3 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Machine Gun Squadron |
| Fate | Returned to Australia 28 June 1919 |
