| Regimental number | 4407 |
| Place of birth | Gloucester England |
| Religion | Church of England |
| Occupation | Fitter and turner |
| Address | 'Kynance', Oswald Street, Campsie, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs Anne Isobel Jefferis, 'Kynance', Oswald Street, Campsie, Sydney, New South Wales |
| Enlistment date | 1 May 1915 |
| Date of enlistment from Nominal Roll | 29 April 1915 |
| Rank on enlistment | Private |
| Unit name | No 3 Australian General Hospital |
| AWM Embarkation Roll number | 26/67/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Mooltan on 15 May 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | No 3 Australian General Hospital |
| Fate | Returned to Australia 2 September 1916 |
