| Regimental number | 15812 |
| Place of birth | Cheapside England |
| Religion | Church of England |
| Occupation | Blacksmith |
| Address | Hurstville, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, J H Harry, 'Hampstead', Connell's Point Road, Hurstville, New South Wales |
| Enlistment date | 8 January 1916 |
| Date of enlistment from Nominal Roll | 28 January 1916 |
| Rank on enlistment | Private |
| Unit name | October 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Port Nicholson on 8 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Australian General Hospital |
| Fate | Effective abroad (still overseas) |