| Regimental number | 57701 |
| Place of birth | Ipswich Queensland |
| Religion | Congregational |
| Occupation | Signwriter |
| Address | Gowrie Road, Toowoomba, Queensland |
| Marital status | Married |
| Age at embarkation | 18 |
| Next of kin | Wife, Mrs F I O'Brien, c/o Mrs Mugford, Gowrie Road, Toowoomba, Queensland |
| Previous military service | 11th Infantry |
| Enlistment date | 20 March 1918 |
| Rank on enlistment | Private |
| Unit name | Queensland Reinforcement 4 |
| AWM Embarkation Roll number | 23/111/1 |
| 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 | 9th Battalion |
| Fate | Returned to Australia 8 September 1919 |