| Regimental number | 1580 |
| Place of birth | Moonta Mines South Australia |
| Religion | Protestant |
| Occupation | Builder |
| Address | Moonta Mines, South Australia |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Richard Pomeroy, Moonta Mines, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/27/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A54 Runic on |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 1st Machine Gun Battalion |
| Fate | Returned to Australia |
| Medals |
Croix de Guerre (Belgium) Source: 'Commonwealth Gazette' No. 91 Date: |