| Regimental number | 5637 |
| Place of birth | Adelong New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Camp Street, Adelong, New South Wales |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Mother, Mrs Mary Ann Ridley, Camp Street, Adelong, New South Wales |
| Enlistment date | 26 May 1916 |
| Rank on enlistment | Private |
| Unit name | 20th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/37/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 9 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 20th Battalion |
| Fate | Returned to Australia 21 December 1917 |
