| Regimental number | 2247 |
| Religion | Roman Catholic |
| Occupation | Miner |
| Address | ... |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Mother, Mrs Julie O'Brien Card of Miss K O'Brien, Mansfield, Victoria |
| Enlistment date | 1 February 1915 |
| Date of enlistment from Nominal Roll | 24 March 1915 |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/33/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A54 Runic on 29 January 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 48th Battalion |
| Fate | Returned to Australia 27 July 1917 |
