| Regimental number | 22004 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Steward |
| Address | South St Kilda, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Aunt, Mrs M A Vernum, 9 Aitken Street, Clifton Hill, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Gunner |
| Unit name | Howitzer Brigade 23, Battery 107 |
| AWM Embarkation Roll number | 13/133/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A7 Medic on |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 7th Field Artillery Brigade |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
