| Regimental number | 7517 |
| Date of birth | |
| Place of birth | Milang, South Australia |
| Religion | Methodist |
| Occupation | Ironmonger |
| Address | Moora, Western Australia |
| Marital status | Single |
| Age at embarkation | 38 |
| Next of kin | Mother, Mrs M B Pavy, Milang, South Australia |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 25th Reinforcement |
| AWM Embarkation Roll number | 23/28/5 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A30 Borda on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Battalion |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Commenced return to Australia on board HT '', 17 June 1918; discharged Medals: British War Medal, Victory Medal Also served in World War II: Service No S38566. |