| Regimental number | 1955 |
| Place of birth | Beechworth Victoria |
| Religion | Congregational |
| Occupation | Aerated water manufacturer |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs R M Jerram, 426 Drummond Street, Ballarat, Victoria |
| Enlistment date | 21 June 1915 |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/38/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A68 Anchises on 26 August 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 8th Battalion |
| Fate | Returned to Australia 19 January 1918 |
