| Regimental number | 28995 |
| Place of birth | Uralla New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | North Bridge, North Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs E A Vercoe, North Bridge, North Sydney, New South Wales |
| Enlistment date | 13 March 1916 |
| Date of enlistment from Nominal Roll | 6 March 1916 |
| Rank on enlistment | Gunner |
| Unit name | Medium Trench Mortar Battery Reinforcement 3 |
| AWM Embarkation Roll number | 13/129/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on 17 October 1916 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | tmb Details |
| Fate | Returned to Australia 4 May 1917 |
