| Regimental number | 12655 |
| Date of birth | |
| Place of birth | Silverton New South Wales |
| Religion | Roman Catholic |
| Occupation | Clerk |
| Address | 'Sefton', St Andrews Street, Walkerville, South Australia |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs E E O'Connell, 'Sefton', St Andrews Street, Walkerville, South Australia |
| Enlistment date | |
| Rank on enlistment | Lance Corporal |
| Unit name | 11th Field Ambulance |
| AWM Embarkation Roll number | 26/54/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A29 Suevic on |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 43rd Battalion |
| Promotions |
2nd Lieutenant Unit: INF42 Promotion date: Lieutenant Unit: INF43 Promotion date: |
| Fate | Returned to Australia |