| Regimental number | 4568 |
| Place of birth | Adelaide South Australia |
| Religion | Roman Catholic |
| Occupation | Junior draughtsman, SAR |
| Address | Rua Rua, Seawall Glenelg, South Australia |
| Marital status | Married |
| Age at embarkation | 21 |
| Next of kin | Wife, Mrs K Ryan, 137 Gilbert Street, Adelaide, South Australia |
| Enlistment date | 6 September 1915 |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/27/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A28 Miltiades on 7 February 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |