| Regimental number | 2490 |
| Place of birth | Broadwater New South Wales |
| Religion | Roman Catholic |
| Occupation | Mill Overseer |
| Address | Bundaberg, Queensland |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife, Mrs Ethel Mary Ryan, Appletree Creek via Childers, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 49th Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/66/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A49 Seang Choon on |
| Recommendations (Medals and Awards) |
Military Medal Recommendation date: Bar to MM Recommendation date: |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 219 Date: MM Bar Source: 'Commonwealth Gazette' No. 110 Date: |