| Regimental number | 5005 |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Bona Vista, via Nilma, Gippsland, Victoria |
| Marital status | Single |
| Age at embarkation | 41 |
| Next of kin | Mother, Mrs E O'Brien, Warragul, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/22/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Royal Army Medical Corps Details |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Plaque in Victorian Garden of Remembrance |
| Date of death |