| Regimental number | 2017 |
| Place of birth | Ballarat Victoria |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | 8 Napier Street, Black Hill, Ballarat East, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Jennie Ryan, 8 Napier Street, Black Hill, Ballarat East, Victoria |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/39/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A68 Anchises on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 58th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
