| Regimental number | 5991 |
| Religion | Roman Catholic |
| Occupation | Driver |
| Address | Prahran, Victoria |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife, Mrs R O'Connor, 12 Ancho Street, Prahran, Victoria |
| Enlistment date | 21 September 1916 |
| Rank on enlistment | Private |
| Unit name | 24th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/41/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 2 October 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
