| Regimental number | 16121 |
| Place of birth | South Melbourne Victoria |
| Religion | Methodist |
| Occupation | School teacher |
| Address | Cecil Street, South Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Father, S Jeffery, Corner Cecil and Dorcas Streets, South Melbourne, Victoria |
| Enlistment date | |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 14, Reinforcement 3 |
| AWM Embarkation Roll number | 13/41/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 2nd Division TM |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
