| Regimental number | 6567 |
| Place of birth | Wellington New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Burradong via Mumbil, New South Wales |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Father, J Jeffery, Burradong via Mumbil, New South Wales |
| Enlistment date | 11 January 1917 |
| Date of enlistment from Nominal Roll | 27 December 1916 |
| Rank on enlistment | Private |
| Unit name | 18th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/35/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 7 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 18th Battalion |
| Fate | Returned to Australia 5 April 1918 |
