| Regimental number | 4374 |
| Place of birth | Geraldton New South Wales |
| Religion | Roman Catholic |
| Occupation | Engine driver |
| Address | Eleanor Street, Geraldton, Western Australia |
| Marital status | Single |
| Age at embarkation | 38 |
| Next of kin | Sister, K O'Brien, Eleanor Street, Geraldton, Western Australia |
| Enlistment date | 8 September 1915 |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/33/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A30 Borda on 11 January 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Employment Company |
| Fate | Returned to Australia 12 December 1918 |
