| Regimental number | 7508. |
| Religion | Church of England |
| Occupation | Carter |
| Address | 160 Eveleigh Street, Redfern, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs M Jarvis, 160 Eveleigh Street, Redfern, Sydney, New South Wales |
| Enlistment date | 16 April 1917 |
| Date of enlistment from Nominal Roll | 9 April 1917 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 25th Reinforcement |
| AWM Embarkation Roll number | 23/18/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A74 Marathon on 10 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Battalion |
| Fate | Returned to Australia 24 December 1918 |
