| Regimental number | 4741 |
| Place of birth | Birmingham England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Spicer's Creek, Brigibooma, via Wellington, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Uncle, A Berry, 51 Cheshire Road, Smethwick, Birmingham, England |
| Enlistment date | 21 November 1916 |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/47/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on 24 January 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 30th Battalion |
| Fate | Returned to Australia 20 December 1918 |
| Date of death | 3 November 1963 |
| Place of burial | Botany Cemetery |