| Regimental number | 18752 |
| Place of birth | Ballarat Victoria |
| Religion | Roman Catholic |
| Occupation | Frenchpolisher |
| Address | North Carlton, Victoria |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs M O'Brien, 568 Drummond Street, North Carlton, Victoria |
| Enlistment date | 17 May 1916 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, August 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT SS Indarra on 26 November 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 29 October 1918 |