| Regimental number | 6787a |
| Religion | Roman Catholic |
| Occupation | Miner |
| Address | Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 37 |
| Next of kin | Uncle, Mr M O'Brien, County Limerick, Ireland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/26/4 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A74 Marathon on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |