| Regimental number | 1913 |
| Place of birth | Eden New South Wales |
| Religion | Church of England |
| Occupation | Carter |
| Address | Eden, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs Isabel Severs, Eden, South Coast, New South Wales |
| Enlistment date | 4 April 1916 |
| Date of enlistment from Nominal Roll | 3 April 1916 |
| Rank on enlistment | Private |
| Unit name | 35th Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/52/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Port Sydney on 4 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 35th Battalion |
| Fate | Returned to Australia 31 March 1919 |
