| Regimental number | 2076 |
| Place of birth | London England |
| Occupation | Fitter |
| Address | 30 Surrey Road, Hawksburn, Victoria |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Mother, Mrs Clara Gergory, 542 Catherine Road, Forest Gate, London, England |
| Enlistment date | 29 March 1916 |
| Date of enlistment from Nominal Roll | 29 March 1916 |
| Rank on enlistment | Private |
| Unit name | 2nd Pioneer Battalion, Reinforcement 3 |
| AWM Embarkation Roll number | 14/14/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A62 Wandilla on 6 June 1916 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 2nd Pioneer Battalion |
| Fate | Returned to Australia |
