| Regimental number | 6873 |
| Religion | Roman Catholic |
| Occupation | Bootmaker |
| Address | Fitzroy, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Mary Ann O'Neil, 415 Napier Street, Fitzroy, Victoria |
| Enlistment date | 21 February 1917 |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/39/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on 11 May 1917 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
