| Regimental number | 7105 |
| Place of birth | Lismore New South Wales |
| Religion | Roman Catholic |
| Occupation | Hairdresser |
| Address | Lismore, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs M O'Connor, Lismore, New South Wales |
| Enlistment date | 10 February 1917 |
| Rank on enlistment | Private |
| Unit name | 25th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/42/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Canberra on 16 November 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 25th Battalion |
| Fate | Returned to Australia 14 January 1919 |