| Regimental number | 10056 |
| Religion | Church of England |
| Occupation | Engineer |
| Address | 477 Balmain Road, Leichhardt, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs Le Serve, 477 Balmain Road, Leichhardt, Sydney, New South Wales |
| Enlistment date | 12 September 1914 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 3, Reinforcement 13 |
| AWM Embarkation Roll number | 13/31/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A35 Berrima on 17 December 1915 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 1st Australian Auxiliary Hospital |
| Fate | Returned to Australia 8 September 1919 |
