| Regimental number | 3928 |
| Place of birth | Mount Pleasant New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | 22 Hargreaves Street, Bendigo, Victoria |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs E O'Keefe, 22 Hargreaves Street, Bendigo, Victoria |
| Enlistment date | 13 July 1915 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/22/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A40 Ceramic on 23 November 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Battalion |
| Fate | Returned to Australia 11 April 1916 |
