| Regimental number | 5120 |
| Place of birth | Wentworth New South Wales |
| Religion | Church of England |
| Occupation | Coachpainter |
| Address | Wentworth, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs J Kerridge, Curlwa, Wentworth, New South Wales |
| Enlistment date | 26 January 1916 |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/23/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A23 Suffolk on 1 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Battalion |
| Fate | Returned to Australia 15 February 1918 |
