| Regimental number | 9747 |
| Religion | Roman Catholic |
| Occupation | Chemist |
| Address | Middle Park, Victoria |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs J O'Keeffe, 97 Canterbury Road, Middle Park, Victoria |
| Enlistment date | 18 August 1915 |
| Rank on enlistment | Private |
| Unit name | 2nd Casualty Clearing Station, 4th Reinforcement |
| AWM Embarkation Roll number | 26/103/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on 7 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Field Ambulance |
| Fate | Returned to Australia 21 July 1918 |