| Regimental number | 69 |
| Place of birth | Hawthorn Victoria |
| Religion | Church of England |
| Occupation | Clerk |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs G Henretta Terry, 47 Hawthorn Grove, Hawthorn, Melbourne, Victoria |
| Enlistment date | 29 September 1914 |
| Rank on enlistment | Private |
| Unit name | 1 Australian General Hospital (November 1914) |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board Transport A55 Kyarra on 21 November 1914 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 1st Australian General Hospital |
| Fate | Returned to Australia 8 October 1918 |