| Regimental number | 3580 |
| Place of birth | Ascot Vale Victoria |
| Religion | Methodist |
| Occupation | Bushman |
| Address | 159 Lord Street, East Perth, Western Australia |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs M A Fermaner, 159 Lord Street, East Perth, Western Australia |
| Enlistment date | 18 October 1915 |
| Date of enlistment from Nominal Roll | 8 October 1915 |
| Rank on enlistment | Sapper |
| Unit name | 3rd Field Company Engineers, Reinforcement 12 |
| AWM Embarkation Roll number | 14/22/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT RMS Mooltan on 11 December 1915 |
| Regimental number from Nominal Roll | 2580 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 3rd Field Company Engineers |
| Fate | Returned to Australia 12 May 1919 |
