| Regimental number | 6998 |
| Place of birth | London England |
| Religion | Baptist |
| Occupation | Fruit grower |
| Address | Eudlo, Queensland |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs E Jeremy, Eudlo, Queensland |
| Enlistment date | 16 October 1916 |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 23rd Reinforcement |
| AWM Embarkation Roll number | 23/26/4 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A55 Kyarra on 17 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 49th Battalion |
| Fate | Returned to Australia 15 June 1919 |
