| Regimental number | 296 |
| Place of birth | Prahran Victoria |
| Religion | Church of England |
| Occupation | Sawmiller |
| Address | 9 High Street, Prahran, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Mary Kermode, 9 High Street, Prahran, Victoria |
| Enlistment date | 11 February 1915 |
| Date of enlistment from Nominal Roll | 11 December 1914 |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, A Company |
| AWM Embarkation Roll number | 23/38/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 10 May 1915 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 28th Company, Australian Army Service Corps |
| Fate | Returned to Australia 9 March 1919 |
