| Regimental number | 1115 |
| Religion | Methodist |
| Occupation | Carter |
| Address | Perth, Western Australia |
| Marital status | Married |
| Age at embarkation | 43 |
| Next of kin | Wife, Mrs Sarah Jane 0'Neill, 45 Tate Street, West Leederville, Western Australia |
| Enlistment date | |
| Rank on enlistment | Sapper |
| Unit name | Mining Corps, Company 3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A38 Ulysses on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |