| Regimental number | 454 |
| Place of birth | Bulli New South Wales |
| Religion | Church of England |
| Occupation | Pilot and boatman |
| Address | Pilot Station, Eden, New South Wales |
| Marital status | Married |
| Age at embarkation | 42 |
| Next of kin | Wife, Mrs Mary Alice Fry, Pilot Station, Eden, New South Wales |
| Enlistment date | 5 February 1916 |
| Date of enlistment from Nominal Roll | 24 January 1916 |
| Rank on enlistment | Private |
| Unit name | 36th Battalion, B Company |
| AWM Embarkation Roll number | 23/53/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 13 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 36th Battalion |
| Fate | Returned to Australia 23 May 1917 |