| Regimental number | 6363 |
| Place of birth | High Wickham, England |
| Religion | Baptist |
| Occupation | Baker |
| Address | Harvey, Western Australia |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Father, E Terry, 4 Oaks Villas, Newbury, Berkshire, England |
| Enlistment date | |
| Rank on enlistment | Driver |
| Unit name | Australian Army Service Corps 16th Company |
| AWM Embarkation Roll number | 25/104/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A19 Afric on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 19th Field Bakery |
| Fate | Returned to Australia |
| Other details |
Medals: 1914-15 Star, British War Medal, Victory Medal |