| Regimental number | 3004 |
| Religion | Church of England |
| Occupation | Stockman |
| Address | 4 Wrexham Road, Windsor, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Adeline de Vere, 4 Wrexham Road, Windsor, Victoria |
| Enlistment date | 6 September 1915 |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A69 Warilda on 5 October 1915 |
| Regimental number from Nominal Roll | 2560 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 9th Battalion |
| Fate | Returned to Australia 16 March 1918 |
| Miscellaneous details | Soldier may have been duplicated in Embarkations Rolls as has another Regimental Number of 2560. |
