| Regimental number | 66519 |
| Place of birth | Burraga New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Greenthorpe, New South Wales |
| Marital status | SX |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs R A Ryan, Greenthorpe, New South Wales |
| Enlistment date | 15 July 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 21 |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A36 Boonah on 22 October 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
