| Regimental number | 22217 |
| Place of birth | Hindmarsh South Australia |
| Religion | Church of England |
| Occupation | Labourer |
| Address | St Vincent Street, Port Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs M A O'Brien, St Vincent Street, Port Adelaide, South Australia |
| Enlistment date | 13 September 1915 |
| Rank on enlistment | Driver |
| Unit name | Howitzer Brigade 23, Battery 108 |
| AWM Embarkation Roll number | 13/133/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A7 Medic on 20 May 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 8th Field Artillery Brigade |
| Fate | Returned to Australia 11 May 1919 |