| Regimental number | 13804 |
| Place of birth | Norfolk, England |
| Religion | Baptist |
| Occupation | Tram conductor |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, H Leverington, Church Road, Magdalen, Norfolk, England |
| Enlistment date | |
| Place of enlistment | Holsworthy, New South Wales |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, Special Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A61 Kanowna on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Field Ambulance |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |