| Regimental number | 10496 |
| Place of birth | Fish Creek, Victoria |
| Religion | Baptist |
| Occupation | Upholsterer |
| Address | 10 Yarra Street, Abbotsford, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs G Werry, 10 Yarra Street, Abbotsford, Victoria |
| Previous military service | 55th Infantry |
| Enlistment date | 18 October 1915 |
| Rank on enlistment | Gunner |
| Unit name | Divisional Ammunition Column 1, Reinforcement 13 |
| AWM Embarkation Roll number | 25/89/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A19 Afric on 5 January 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 1st Field Artillery Brigade |
| Fate | Returned to Australia 20 April 1919 |
