| Regimental number | 3217 |
| Place of birth | Sydney, New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | 17 Massey Street, North Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Sister, Mrs Ada O'Brien, 17 Massey Street, North Sydney, New South Wales |
| Enlistment date | 28 September 1916 |
| Place of enlistment | Sydney, New South Wales |
| Rank on enlistment | Private |
| Unit name | 55th Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/72/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A29 Suevic on 11 November 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
