| Regimental number | 1037 |
| Place of birth | Hillston New South Wales |
| Religion | Roman Catholic |
| Occupation | Station hand |
| Address | c/o Mrs E O'Brien, Hillston, Riverina, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, James O'Brien, Hillston, Riverina, New South Wales |
| Enlistment date | 3 March 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Light Horse Regiment, 6th Reinforcement |
| AWM Embarkation Roll number | 10/6/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A65 Clan McEwen on 28 June 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Light Horse Regiment |
| Fate | Returned to Australia 26 December 1918 |
