| Regimental number | 18169 |
| Place of birth | Canterbury Victoria |
| Religion | Congregational |
| Occupation | Warehouseman |
| Address | Bunyip, Victoria |
| Marital status | Married |
| Age at embarkation | 26 |
| Next of kin | Wife, Mrs J E Mercy, c/o Gunson Bros, Bunyip, Victoria |
| Enlistment date | 19 September 1916 |
| Date of enlistment from Nominal Roll | 19 September 1916 |
| Rank on enlistment | Private |
| Unit name | May 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on 8 August 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Australian General Hospital |
| Fate | Returned to Australia 3 March 1918 |
