| Regimental number | 1901 |
| Place of birth | Bathurst New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Piper Street, Portland, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs M O'Mara, Piper Street, Portland, New South Wales |
| Enlistment date | 27 April 1916 |
| Rank on enlistment | Private |
| Unit name | 36th Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/53/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Port Sydney on 4 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 34th Battalion |
| Fate | Returned to Australia 11 May 1919 |
