| Regimental number | 6096 |
| Religion | Roman Catholic |
| Occupation | Assistant ironmonger |
| Address | Parkside, South Australia |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs L O'Connor, Liston Street, Parkside, South Australia |
| Enlistment date | 17 May 1915 |
| Rank on enlistment | Private |
| Unit name | 1 Australian General Hospital 1-6 Special Reinforcements |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 11 October 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Field Ambulance |
| Fate | Returned to Australia 31 March 1919 |