| Regimental number | 6409 |
| Place of birth | Sussex England |
| Religion | Church of England |
| Occupation | Teamster |
| Address | Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Sister, Mrs R Berry, Carey Lynn Crescent Road, Burgess Hill Sussex, England |
| Enlistment date | 20 October 1916 |
| Date of enlistment from Nominal Roll | 30 October 1916 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/34/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A29 Suevic on 11 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 17th Battalion |
| Fate | Returned to Australia 23 September 1918 |