| Regimental number | 2016 |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Winton, Queensland |
| Marital status | Single |
| Age at embarkation | 40 |
| Next of kin | Sister, Miss Lily O'Neill, Denham Street, Glebe, Sydney, New South Wales |
| Enlistment date | 13 November 1915 |
| Rank on enlistment | Private |
| Unit name | 49th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/66/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A46 Clan Macgillivray on 1 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 1 February 1918 |