| Regimental number | 58804 |
| Place of birth | Condobolin New South Wales |
| Religion | Church of England |
| Occupation | Storekeeper |
| Address | Chatswood, New South Wales |
| Marital status | Widower |
| Age at embarkation | 32 |
| Next of kin | Daughter, Miss E I Jerrold, c/o Mrs F Jerrold, Leewin, Albert Avenue, Chatswood, New South Wales |
| Enlistment date | 4 April 1918 |
| Rank on enlistment | Private |
| Unit name | 10th General Service (NSW) Reinforcements |
| AWM Embarkation Roll number | 23/111/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on 17 July 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Staging Camp |
| Fate | Returned to Australia 23 September 1919 |
| Other details | Served in France |
