| Regimental number | 2876 |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Beattie Street, West End, South Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Father, John O'Brien, Beattie Street, West End, South Brisbane, Queensland |
| Enlistment date | 21 June 1915 |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/45/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A38 Ulysses on 2 November 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
