| Regimental number | 53639 |
| Place of birth | Australia |
| Occupation | Drain contractor |
| Next of kin | Mother, Mrs Florence O'Brien, Buckley Street, Footscray, Melbourne, Victoria, Australia |
| Rank on embarkation | Rifleman |
| Unit name | New Zealand Expeditionary Force, New Zealand Rifle Brigade Reinforcements, J Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 88 Athenic on |
| Sources | Nominal Roll Vol. 3: Roll 68, p. 14 |