| Regimental number | 9535 |
| Place of birth | Crawley England |
| Religion | Roman Catholic |
| Occupation | Mariner |
| Address | Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 43 |
| Next of kin | Cousin, Dr. Horace Pern, Yarrum Yarrum, South Gippsland, Victoria |
| Enlistment date | 9 December 1915 |
| Rank on enlistment | Sapper |
| Unit name | 11th Field Company Engineers, Section 4 |
| AWM Embarkation Roll number | 14/30/1 |
| Embarkation details | Unit embarked from OUTER HARBOR, South Australia, on board HMAT A29 Suevic on 31 May 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 11th Field Company Engineers |
| Fate | Returned to Australia 27 July 1917 |
