| Regimental number | 18124 |
| Place of birth | London, England |
| Religion | Methodist |
| Occupation | Registered Chemist |
| Address | Haberfield, New South Wales |
| Marital status | Married |
| Age at embarkation | 36 |
| Next of kin | Wife, Mrs K C Berry, 114 Rogers Avenue, Haberfield, New South Wales |
| Enlistment date | 13 August 1917 |
| Place of enlistment | Sydney, New South Wales |
| Rank on enlistment | S/SGT |
| Unit name | Staff Sergeant Dispensers |
| AWM Embarkation Roll number | 26/108/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A34 Persic on 29 August 1917 |
| Rank from Nominal Roll | Warrant Officer (Class II) |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 15 January 1919 |
