| Regimental number | 12364 |
| Place of birth | Ballarat Victoria |
| Religion | Roman Catholic |
| Occupation | Butcher |
| Address | 25 Gore Street, Fitzroy, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Sister, Miss E M O'Brien, 25 Gore Street, Fitzroy, Victoria |
| Enlistment date | 9 August 1915 |
| Rank on enlistment | Driver |
| Unit name | Field Ambulance 10 |
| AWM Embarkation Roll number | 26/53/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A54 Runic on 20 June 1916 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 10th Field Ambulance |
| Fate | Effective abroad (still overseas) |
