| Regimental number | 1619 |
| Place of birth | Kooringal South Australia |
| Religion | Church of England |
| Occupation | Variety artist |
| Address | 4 Chestermoreland Street, Forest Lodge, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs T Brereton, Port Road, Kadina, South Australia |
| Enlistment date | 6 September 1916 |
| Rank on enlistment | Private |
| Unit name | Light Trench Mortar Battery, Reinforcement 4 |
| AWM Embarkation Roll number | 13/130/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A24 Benalla on 9 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Battalion |
| Fate | Returned to Australia 6 September 1919 |
