| Regimental number | 66779 |
| Place of birth | Queanbeyan New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | 27 Grafton Street, Woollahra, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs M A Ryan, 27 Grafton Street, Woollahra, Sydney, New South Wales |
| Enlistment date | 18 August 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 22 |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Wyreema on 14 October 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
