| Regimental number | 2904 |
| Place of birth | Neville New South Wales |
| Religion | Roman Catholic |
| Occupation | Railway employee |
| Address | Rosebud, Neville, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Grandparent, Mrs Mary O'Brien, Rosebud, Neville, New South Wales |
| Enlistment date | 13 November 1916 |
| Date of enlistment from Nominal Roll | 4 November 1916 |
| Rank on enlistment | Private |
| Unit name | 36th Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/53/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 25 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 36th Battalion |
| Fate | Returned to Australia 3 March 1919 |
