| Regimental number | 20694 |
| Place of birth | Waterloo New South Wales |
| Religion | Roman Catholic |
| Occupation | Cook and miner |
| Address | Penshurst, New South Wales |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Mother, Mrs Margaret O'Rourke, Nelson Street, Penshurst, New South Wales |
| Enlistment date | 8 July 1917 |
| Rank on enlistment | Sapper |
| Unit name | October 1917 Reinforcements |
| AWM Embarkation Roll number | 14/42/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Canberra on 16 November 1917 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
