| Regimental number | 5405 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Wood machinist |
| Address | Camooweal, Queensland |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs S Jehu, 83 Garsford Street, Kentish Town London NW, England |
| Enlistment date | 24 January 1916 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/29/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Hawkes Bay on 20 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Battalion |
| Fate | Returned to Australia 27 August 1917 |
