| Regimental number | 5664 |
| Place of birth | Sydney New South Wales |
| Religion | Methodist |
| Occupation | Barman |
| Address | Maclean, Clarence River, New South Wales |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Wife, Mrs Virginia Blanche Ryan, 12 Garden Street, Alexandria, New South Wales |
| Enlistment date | 19 May 1916 |
| Date of enlistment from Nominal Roll | 10 May 1916 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/36/3 |
| 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 19 June 1919 |