| Regimental number | 2964 |
| Religion | Roman Catholic |
| Occupation | Engine cleaner |
| Address | Tailem Bend, South Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Sister, Miss Maggie O'Reilly, Tailem Bend, South Australia |
| Enlistment date | 29 August 1916 |
| Rank on enlistment | Private |
| Unit name | 50th Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/67/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A19 Afric on 6 November 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
