| Regimental number | 2212 |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Porr Lincoln, South Australia |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs Bredget O'Brien, Victoria Street, Petersburg, South Australia |
| Enlistment date | 31 May 1915 |
| Rank on enlistment | Private |
| Unit name | 27th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/44/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A15 Star Of England on 21 September 1915 |
| Regimental number from Nominal Roll | 221 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 27th Battalion |
| Fate | Returned to Australia 19 April 1919 |
