| Regimental number | 6139 |
| Place of birth | Savoy France |
| Religion | No religion |
| Occupation | Engineer |
| Address | Clifton, Hawthorn Parade, Haberfield, New South Wales |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs F B Merandon, Clifton, Hawthorn Parade, Haberfield, New South Wales |
| Enlistment date | 12 May 1915 |
| Rank on enlistment | Motor SGT |
| Unit name | Infantry Brigade 5, 15th Company, Army Service Corps |
| AWM Embarkation Roll number | 25/103/1 |
| Embarkation details | Unit embarked from |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 1st Division Supply Column |
| Fate | Returned to Australia 26 December 1916 |
