| Regimental number | 604 |
| Place of birth | Ballarat Victoria |
| Religion | Church of England |
| Occupation | Electrical mechanic |
| Marital status | Married |
| Age at embarkation | 22 |
| Next of kin | Wife, Mrs Doris Verey, 288 Lygon Stret, Carlton |
| Enlistment date | 27 October 1914 |
| Rank on enlistment | Sapper |
| Unit name | 3rd Light Horse Brigade, 3rd Signal Troop |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A51 Chilka on 1 February 1915 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 3rd Signal Troop |
| Fate | Returned to Australia 8 May 1916 |
