| Regimental number | 4666 |
| Place of birth | Lancaster England |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | Longfort Street, Heywood, Lancaster, England |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs C Berry, Longfort Street, Heywood, Lancaster, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/39/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A14 Euripides on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 22nd Battalion |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Plaque in Victorian Garden of Remembrance |
| Date of death |