| Regimental number | 6941 |
| Place of birth | Altunya New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Tamworth West, New South Wales |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Mother, Mrs Annie O'Brien, Fitzroy Street, Tamworth West, New South Wales |
| Enlistment date | 28 March 1917 |
| Rank on enlistment | Private |
| Unit name | 18th Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/35/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 16 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 18th Battalion |
| Fate | Returned to Australia 27 September 1918 |
