| Regimental number | 7021 |
| Place of birth | Ballarat, Victoria |
| Religion | Church of England |
| Occupation | Civil servant |
| Address | Jollimont, Western Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Mary H Berry, Peel Street, Jollimont, Western Australia |
| Enlistment date | 15 January 1917 |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/45/4 |
| Embarkation details | Unit embarked from Albany, Western Australia, on board HMAT A16 Port Melbourne on 29 January 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 27th Battalion |
| Fate | Returned to Australia 9 December 1918 |
