| Regimental number | 6865 |
| Place of birth | Sydney New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Milson's Point, New South Wales |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Mother, Mrs Elizabeth Ryan, 85 Alfred Street, Milson's Point, North Sydney, New South Wales |
| Enlistment date | 18 April 1917 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/36/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A16 Port Melbourne on 16 July 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Battalion |
| Fate | Returned to Australia 2 January 1919 |