| Regimental number | 817 |
| Occupation | Engine driver |
| Address | 12 Goodsell Street, Newtown, New South Wales |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs Elizabeth Jane Jerrett, 6 Union Street, Erskineville, New South Wales |
| Enlistment date | |
| Rank on enlistment | Acting Corporal |
| Unit name | Australian Naval & Military Expeditionary Force, 4th Tropical Unit, D Company |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Te Apua on |