| Regimental number | 2285 |
| Place of birth | Hobart Tasmania |
| Religion | Church of England |
| Occupation | Motor mechanic |
| Address | Hobart, Tasmania |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs Helena Verren, 35 Cromwell Street, Hobart, Tasmania |
| Enlistment date | 2 October 1916 |
| Rank on enlistment | Private |
| Unit name | 40th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/57/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A16 Port Melbourne on 21 October 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | AFD |
| Fate | Returned to Australia 22 August 1919 |
