| Regimental number | 3904 |
| Place of birth | Toodyay Western Australia |
| Religion | Roman Catholic |
| Occupation | Fireman |
| Address | Toodyay, Western Australia |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs M O'Driscoll, Toodyay, Western Australia |
| Enlistment date | 27 June 1917 |
| Date of enlistment from Nominal Roll | 11 May 1917 |
| Rank on enlistment | Private |
| Unit name | 51st Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/68/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A60 Aeneas on 30 October 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 51st Battalion |
| Fate | Returned to Australia 30 June 1918 |
