| Regimental number | 1745 |
| Religion | Methodist |
| Occupation | Labourer |
| Address | c/o Mrw A Berry, Frederick Street, Maylands, South Australia |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | William Henry Elliot, Magill Road, Maylands, South Australia |
| Enlistment date | 5 January 1915 |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/27/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A17 Port Lincoln on 1 April 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
