| Regimental number | 3876 |
| Place of birth | London England |
| Religion | Methodist |
| Occupation | Labourer |
| Address | c/o Mrs Lewis Darling Street, Dubbo, New South Wales |
| Marital status | Single |
| Age at embarkation | 36 |
| Next of kin | Mother, Mrs T M Jeffery, 110 New North Road, London, England |
| Enlistment date | 30 September 1915 |
| Rank on enlistment | Private |
| Unit name | 18th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/35/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on 20 January 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
| Date of death | 17 October 1957 |
| Place of burial | Dubbo Cemetery |