| Regimental number | 2887 |
| Religion | Roman Catholic |
| Occupation | Engine cleaner |
| Address | Corrimal Street, Wollongong, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Elizabeth O'Brien, Corrimal Street, Wollongong, New South Wales |
| Enlistment date | 19 January 1916 |
| Rank on enlistment | Private |
| Unit name | 1st Light Horse Regiment, 20th Reinforcement |
| AWM Embarkation Roll number | 10/6/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Malwa on 22 July 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
