| Regimental number | 51668 |
| Place of birth | Collingwood Victoria |
| Religion | Baptist |
| Occupation | Broommaker |
| Address | 156 Gold Street, Clifton Hill, Victoria |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs H O'Brien, 156 Gold Street, Clifton Hill, Victoria |
| Enlistment date | 3 December 1917 |
| Rank on enlistment | Private |
| Unit name | 3rd General (Victorian) Reinforcements |
| AWM Embarkation Roll number | 23/111/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Orontes on 5 June 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 39th Battalion |
| Fate | Returned to Australia 20 July 1919 |
