| Regimental number | 1967 |
| Place of birth | Brisbane Queensland |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Shyring Creek, Pomona, Queensland |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs Susan O'Brien, Shyring Creek, Pomona, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 11th Light Horse Regiment, 12th Reinforcement |
| AWM Embarkation Roll number | 10/16/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Mooltan on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Field Squadron, Royal Engineers, Imperial Mounted Division |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
