| Regimental number | 26912 |
| Place of birth | Balranald New South Wales |
| Religion | Church of England |
| Occupation | Quarryman |
| Address | Deer Park, Victoria |
| Marital status | Married |
| Age at embarkation | 43 |
| Next of kin | Wife, Mrs M F O'Brien, Deer Park, Victoria |
| Enlistment date | 15 February 1916 |
| Date of enlistment from Nominal Roll | 15 February 1916 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 6, Reinforcement 8 |
| AWM Embarkation Roll number | 13/34/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A15 Port Sydney on 7 September 1916 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 1st Australian General Hospital |
| Fate | Returned to Australia 11 January 1918 |
