| Regimental number | 1021 |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Torrington Street, Glen Innes, New South Wales |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | M O'Brien, Torrington Street, Glen Innes, New South Wales |
| Enlistment date | 6 January 1915 |
| Rank on enlistment | Private |
| Unit name | 7th Light Horse Regiment, 6th Reinforcement |
| AWM Embarkation Roll number | 10/12/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A66 Uganda on 15 June 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Light Horse Regiment |
| Fate | Returned to Australia 26 July 1919 |