| Regimental number | 15872 |
| Place of birth | Daylesford Victoria |
| Religion | Methodist |
| Occupation | Undertaker |
| Address | Daylesford, Victoria |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Father, F Verey, Howe Street, Daylesford, Victoria |
| Enlistment date | 30 November 1915 |
| Date of enlistment from Nominal Roll | 15 November 1915 |
| Rank on enlistment | Private |
| Unit name | October 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Port Napier on 17 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 13th Field Ambulance |
| Fate | Returned to Australia 4 June 1919 |
