| Regimental number | 3788 |
| Place of birth | Guernsey Channel Islands |
| Religion | Methodist |
| Occupation | Cook |
| Address | Leeton, via Yanco, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Sister, Mrs Bertha Mabel Querce, Leeton via Yanco, NSW, |
| Enlistment date | 25 August 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/20/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 30 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Veterinary Hospital |
| Fate | Returned to Australia 12 March 1918 |
