| Regimental number | 3753 |
| Place of birth | Cork Ireland |
| Religion | Roman Catholic |
| Occupation | Miner |
| Address | 59 North Terrace, Boulder City, Western Australia |
| Marital status | Married |
| Age at embarkation | 49 |
| Next of kin | Wife, Mrs Lillian Tregenza O'Driscoll, 59 North Terrace, Boulder City, Western Australia |
| Enlistment date | 27 January 1917 |
| Date of enlistment from Nominal Roll | 2 January 1917 |
| Rank on enlistment | Private |
| Unit name | 2nd Pioneer Battalion, Reinforcement 9 |
| AWM Embarkation Roll number | 14/14/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A9 Shropshire on 11 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Pioneer Battalion |
| Fate | Returned to Australia 1 February 1918 |