| Regimental number | 66506 |
| Place of birth | Singleton New South Wales |
| Religion | Roman Catholic |
| Occupation | Striker |
| Address | South Maitland, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, J O'Neill, Blooms Hotel, Lithgow, New South Wales |
| Previous military service | 2nd Battalion 33rd Infantry |
| Enlistment date | 3 June 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 21 |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A36 Boonah on 22 October 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
