| Regimental number | 14619 |
| Place of birth | Adelaide South Australia |
| Religion | Roman Catholic |
| Occupation | Fitter |
| Address | Croydon, South Australia |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs M J O'Leary, Princess Street, Croydon, South Australia |
| Enlistment date | 23 February 1916 |
| Rank on enlistment | Private |
| Unit name | Australian Army Medical Corps, July 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A70 Ballarat on 12 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Field Ambulance |
| Fate | Returned to Australia 1 August 1919 |
