| Regimental number | 8047 |
| Religion | Church of England |
| Occupation | Woodworking machinist |
| Address | Fairfield, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, J Berry, Ware Street, Fairfield, New South Wales |
| Enlistment date | 14 July 1915 |
| Rank on enlistment | Private |
| Unit name | 1 Australian General Hospital 1-6 Special Reinforcements |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 11 October 1915 |
| Rank from Nominal Roll | Staff Sergeant |
| Unit from Nominal Roll | Army Dental Service |
| Fate | Returned to Australia 3 March 1919 |
