| Regimental number | 569 |
| Religion | Church of England |
| Occupation | Bricklayer |
| Address | George Street, Waterloo, New South Wales |
| Marital status | Married |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs. O'Brien, 1 Noone Street, Clifton Hill, Melbourne, Victoria |
| Enlistment date | 26 August 1914 |
| Date of enlistment from Nominal Roll | 25 August 1914 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, G Company |
| AWM Embarkation Roll number | 23/21/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board Transport A14 Euripides on 20 October 1914 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Battalion |
| Fate | Returned to Australia 15 November 1915 |
