| Regimental number | 4364 |
| Place of birth | Launceston, Tasmania |
| Religion | Church of England |
| Occupation | Fireman |
| Address | 94 Crown Street, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 39 |
| Next of kin | Wife, Mrs C Berry, 94 Crown Street, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 18th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/35/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A71 Nestor on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 18th Battalion |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Botany Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
