| Religion | Roman Catholic |
| Occupation | Commercial traveller |
| Address | Sandgate, Brisbane, Queensland |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs N O'Sullivan, Pier Avenue, Sandgate, Brisbane, Queensland |
| Enlistment date | 5 July 1915 |
| Rank on enlistment | 2nd Lieutenant |
| Unit name | 9th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/26/4 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A62 Wandilla on 31 January 1916 |
| Rank from Nominal Roll | 2nd Lieutenant |
| Unit from Nominal Roll | 9th Battalion |
| Fate | Returned to Australia 23 September 1916 |
