| Regimental number | 2266 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | No 9 Beach Street, South Lambeth, London |
| Marital status | Single |
| Age at embarkation | 37 |
| Next of kin | Nephew, Frederick Eugene Vernon, No 9 Beach Street, South Lambeth, London |
| Enlistment date | 17 July 1915 |
| Rank on enlistment | Private |
| Unit name | 27th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/44/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A15 Star Of England on 21 September 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Battalion |
| Fate | Returned to Australia 19 March 1916 |