| Regimental number | 6930 |
| Place of birth | Beaconsfield, Tasmania |
| Religion | Presbyterian |
| Occupation | Storeman |
| Address | Maylands, Western Australia |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Mary Ann Derepas, 7th Avenue, Maylands, Western Australia |
| Enlistment date | 18 April 1916 |
| Date of enlistment from Nominal Roll | 10 April 1916 |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/45/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A30 Borda on 29 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 16th Battalion |
| Fate | Returned to Australia 15 September 1918 |
