| Regimental number | 4354 |
| Place of birth | Charleville Queensland |
| Religion | Church of England |
| Occupation | Horse driver |
| Address | Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 24 |
| Next of kin | Wife, Mrs Doris C Seery, 7 Burton Street, Glebe, Sydney, New South Wales |
| Enlistment date | 6 June 1917 |
| Rank on enlistment | Private |
| Unit name | 1st Pioneer Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 14/13/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A29 Suevic on 21 June 1917 |
