| Regimental number | 77 |
| Place of birth | Toowoomba Queensland |
| Religion | Roman Catholic |
| Occupation | Shop assistant |
| Address | 138 Elwick Street, Leichhardt, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs Georgina O'Sullivan, Toowoomba, Queensland |
| Enlistment date | |
| Rank on enlistment | Driver |
| Unit name | 4th Light Horse Brigade Ammunition Reserve, 6th Reinforcements |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A47 Mashobra on |