| Regimental number | 7191 |
| Place of birth | Melbourne Victoria |
| Religion | Church of England |
| Occupation | Accountant |
| Address | Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Wife, Mrs E Lavery, Bourke Street East PO, Melbourne, Victoria |
| Enlistment date | 13 March 1916 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 24th Reinforcement |
| AWM Embarkation Roll number | 23/28/5 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT Miltiades on 29 January 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Battalion |
| Fate | Returned to Australia 17 June 1918 |
