| Regimental number | 6109 |
| Place of birth | Christchurch, New Zealand |
| Religion | Methodist |
| Occupation | Horse driver |
| Address | 89 Baptist Street, Redfern, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Step-Father, Charles Edward Kercher, 89 Baptist Street, Redfern, New South Wales |
| Enlistment date | 25 July 1916 |
| Date of enlistment from Nominal Roll | 25 June 1916 |
| Place of enlistment | Sydney, New South Wales |
| Rank on enlistment | Private |
| Unit name | 18th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/35/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A11 Ascanius on 25 October 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | a Prov C |
| Fate | Effective abroad (still overseas) |
