| Regimental number | 18174 |
| Place of birth | Middle Park Victoria |
| Religion | No religion |
| Occupation | Pay clerk |
| Address | East Prahran, Victoria |
| Marital status | Married |
| Age at embarkation | 24 |
| Next of kin | Wife, Mrs V E Peverill, 39 Page Street, Albert Park, Victoria |
| Enlistment date | 5 October 1916 |
| Rank on enlistment | Private |
| Unit name | May 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on 8 August 1917 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 7th Field Ambulance |
| Fate | Returned to Australia 29 May 1919 |
