| Regimental number | 5304 |
| Religion | Roman Catholic |
| Occupation | Jockey |
| Address | Ipswich, Queensland |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs. J. O'Brien, Moore, via Ipswich, Queensland |
| Enlistment date | 29 October 1917 |
| Rank on enlistment | Private |
| Unit name | 31st Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/48/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Ormonde on 2 March 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Corps Workshops |
| Fate | Returned to Australia 23 July 1919 |
