| Regimental number | 1962 |
| Place of birth | Gilgandra New South Wales |
| Religion | Roman Catholic |
| Occupation | Brickmaker |
| Address | Newtown, Gilgandra, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Mary Ann Ryan, Newtown, Gilgandra, New South Wales |
| Enlistment date | 18 November 1915 |
| Rank on enlistment | Private |
| Unit name | 59th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/76/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A17 Port Lincoln on 4 May 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |