| Regimental number | 1959 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | ... |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Mother, Mrs I Kernick, Blackball, West Coast South Island, New Zealand |
| Enlistment date | 15 June 1915 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/34/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on 9 August 1915 |
| Regimental number from Nominal Roll | 1959A |
| Rank from Nominal Roll | Lance Sergeant |
| Unit from Nominal Roll | 17th Battalion |
| Fate | Returned to Australia 31 March 1919 |
