| Regimental number | 21047 |
| Place of birth | Mackay Queensland |
| Religion | Church of England |
| Occupation | Chemist |
| Address | Mackay, Queensland |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Father, G Beresford, Grafton House, Alfred Street, Mackay, Queensland |
| Enlistment date | 1 September 1917 |
| Rank on enlistment | Staff Sergeant |
| Unit name | Staff Sergeant Dispensers |
| AWM Embarkation Roll number | 26/108/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A55 Kyarra on 7 September 1917 |
| Rank from Nominal Roll | Warrant Officer (Class II) |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 15 January 1919 |