| Regimental number | 54279 |
| Place of birth | Liverpool England |
| Religion | Church of England |
| Occupation | Mariner |
| Address | Darlinghurst, New South Wales |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs E C Terry, 9 West Avenue, Darlinghurst, New South Wales |
| Enlistment date | 29 January 1918 |
| Rank on enlistment | Private |
| Unit name | 6th General Service Reinforcements (New South Wales) |
| AWM Embarkation Roll number | 23/111/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Feldmarschall on 19 June 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 34th Battalion |
| Fate | Returned to Australia 20 July 1919 |