| Regimental number | 62762 |
| Place of birth | Cue Western Australia |
| Religion | Roman Catholic |
| Occupation | Student engineer |
| Address | Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, B C O'Brien, Court Hotel, Perth, Western Australia |
| Previous military service | 2nd Battalion 11th Infantry |
| Enlistment date | 7 March 1918 |
| Rank on enlistment | Private |
| Unit name | Western Australian Reinforcement 3 |
| AWM Embarkation Roll number | 23/111/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT Boonah on 29 October 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |