| Regimental number | 3939 |
| Place of birth | Broken Hill New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Broken Hill, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs M J O'Brien, Newton Street, Broken Hill, New South Wales |
| Enlistment date | 23 January 1918 |
| Rank on enlistment | Private |
| Unit name | 48th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/65/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on 22 March 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 48th Battalion |
| Fate | Returned to Australia 8 January 1919 |
