| Regimental number | 61912 |
| Place of birth | Colac Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 4 Veitch Street, Geelong, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs E Kerr, 177 Little Malop Street, Geelong, Victoria |
| Previous military service | 69th Infantry |
| Enlistment date | 20 March 1918 |
| Rank on enlistment | Private |
| Unit name | 13th General (Victorian) Reinforcements |
| AWM Embarkation Roll number | 23/111/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board SS Zealandic on 5 October 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps Details |
| Fate | Effective abroad (still overseas) |
