| Regimental number | 3842 |
| Place of birth | Colchester England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Griffons Hotel, Bundaberg, Queensland |
| Marital status | Single |
| Age at embarkation | 36 |
| Next of kin | Mother, Mrs. Eliza Leverett, 48 Westbury avenue, Woodgreen, London |
| Enlistment date | 2 May 1916 |
| Rank on enlistment | Private |
| Unit name | 31st Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/48/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A49 Seang Choon on 19 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 31st Battalion |
| Fate | Returned to Australia 19 October 1917 |
