| Regimental number | 22009 |
| Place of birth | Drake New South Wales |
| Religion | Roman Catholic |
| Occupation | Postal employee |
| Address | Kalgoorlie, Western Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs M Fry, 343 Dugan Street, Kalgoorlie, Western Australia |
| Previous military service | 84th Infantry |
| Enlistment date | 3 January 1916 |
| Rank on enlistment | Gunner |
| Unit name | Howitzer Brigade 23, Battery 107 |
| AWM Embarkation Roll number | 13/133/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A7 Medic on 20 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Field Artillery Brigade |
| Fate | Returned to Australia 1 July 1919 |