| Regimental number | 4955 |
| Religion | Church of England |
| Occupation | Salesman |
| Address | Empire Street, Haberfield, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, R Jeffereys, Empire Street, Haberfield, New South Wales |
| Previous military service | 6th Australian Army Medical Corps |
| Enlistment date | 14 June 1915 |
| Rank on enlistment | Sergeant |
| Unit name | Australian Army Medical Corps, Hospital Transports Staff (No. 1 Hospital Ship, 'Karoola') |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on 14 July 1915 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | No 1 Hospital Ship 'Karoola' |
| Fate | Effective abroad (still overseas) |
