| Regimental number | 1022 |
| Religion | Roman Catholic |
| Occupation | Farm hand |
| Address | c/o Mrs E M O'Brien, Rooty Hill, New South Wales |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Sister, Ellen Mary O'Brien, c/o Mrs E M O'Brien, Rooty Hill, New South Wales |
| Enlistment date | 23 February 1915 |
| Rank on enlistment | Private |
| Unit name | 7th Light Horse Regiment, 6th Reinforcement |
| AWM Embarkation Roll number | 10/12/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A66 Uganda on 15 June 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 7th Light Horse Regiment |
| Fate | Returned to Australia 28 June 1919 |
