| Regimental number | 19625 |
| Place of birth | Panmure Victoria |
| Religion | Roman Catholic |
| Occupation | Railway employee |
| Address | Perth, Western Australia |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs E C O'Farrell, 628 Murray , Perth, Western Australia |
| Enlistment date | 16 July 1917 |
| Date of enlistment from Nominal Roll | 11 July 1917 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, October 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT Canberra on 23 November 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Australian General Hospital |
| Fate | Returned to Australia 3 September 1919 |
