| Regimental number | 3428 |
| Religion | Roman Catholic |
| Occupation | Farmer |
| Address | Dardanup, Western Australia |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs Ivy Mary O'Neill, Dardanup, Western Australia |
| Enlistment date | 9 April 1917 |
| Rank on enlistment | Private |
| Unit name | 10th Light Horse Regiment, 29th Reinforcement |
| AWM Embarkation Roll number | 10/15/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A17 Port Lincoln on 30 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Light Horse Regiment |
| Fate | Returned to Australia 10 July 1919 |
