| Regimental number | 147A |
| Place of birth | Wangaratta Victoria |
| Religion | Roman Catholic |
| Occupation | Draper |
| Address | Dandenong, Victoria |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs H O'Brien, Club Hotel, Dandenong, Victoria |
| Enlistment date | 20 April 1915 |
| Rank on enlistment | Private |
| Unit name | No 1 Australian General Hospital |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board A62 Wandilla on 25 June 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
