| Regimental number | 616 |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | 'Pappenbarra', Beechwood, Port Macquarie, New South Wales |
| Marital status | Single |
| Age at embarkation | 36 |
| Next of kin | Mother, Mrs W O'Brien, 'Pappenbarra', Beechwood, Port Macquarie, New South Wales |
| Enlistment date | 24 February 1915 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, B Company |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT Ceramic on 25 June 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 19th Battalion |
| Fate | Returned to Australia 11 April 1916 |
