| Regimental number | 16407 |
| Place of birth | Parramatta New South Wales |
| Religion | Roman Catholic |
| Occupation | Assembler |
| Address | Parramatta, New South Wales |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs A I Ferris, Ross Street, Parramatta, New South Wales |
| Enlistment date | 21 March 1916 |
| Rank on enlistment | Private |
| Unit name | December 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on 2 December 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 11 May 1919 |