| Regimental number | 4258 |
| Place of birth | Manchester England |
| Religion | Church of England |
| Occupation | Gasfitter |
| Address | Laureston, 26 Langshaw Street, New Farm, Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Father, T Vernon, 273 Walkden Road, Worsley Manchester, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A55 Kyarra on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 14th Field Artillery Brigade |
| Fate | Returned to Australia |
| Medals |
Meritorious Service Medal Source: 'Commonwealth Gazette' No. 173 Date: |