| Regimental number | 2004 |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Warleigh Road, West Footscray, Victoria |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs Elizabeth O'Brien, Warleigh Road, West Footscray, Victoria |
| Enlistment date | 2 September 1915 |
| Rank on enlistment | Private |
| Unit name | 26th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/43/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A55 Kyarra on 16 August 1915 |
| Regimental number from Nominal Roll | 2004A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 24th Battalion |
| Fate | Returned to Australia 6 September 1919 |
