| Regimental number | 2767 |
| Place of birth | Newcastle New South Wales |
| Religion | Church of England |
| Occupation | Guard |
| Address | Duke Street, West Northam, Western Australia |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs E M Jeffery, Bunbury PO, Bunbury, Western Australia |
| Previous military service | 18th ALH |
| Enlistment date | 1 May 1918 |
| Rank on enlistment | 2nd Corporal |
| Unit name | Railway Unit, Special Draft 1918 |
| AWM Embarkation Roll number | 15/9/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board SS Zealandic on 5 October 1918 |
| Rank from Nominal Roll | 2nd Corporal |
| Unit from Nominal Roll | spec Rfts Rly Coys |
| Fate | Returned to Australia 12 July 1919 |
