| Regimental number | 3125 |
| Place of birth | London, England |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Deeford, Wowan, Dawson Valley Line, Central Queensland |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Matilda Berry, 26 Wolsey Avenue, Walthamstown, Essex, England |
| Enlistment date | 5 October 1916 |
| Place of enlistment | Rockhampton, Queensland |
| Rank on enlistment | Private |
| Unit name | 49th Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/66/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A64 Demosthenes on 23 December 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 49th Battalion |
| Fate | Returned to Australia 15 January 1919 |
