| Regimental number | 1965 |
| Place of birth | Brisbane Queensland |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Bridget O'Brien, Leichhardt Street, Brisbane, Queensland |
| Enlistment date | 19 January 1916 |
| Rank on enlistment | Private |
| Unit name | 49th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/66/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A46 Clan Macgillivray on 1 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 41st Battalion |
| Fate | Returned to Australia 20 May 1919 |
