| Regimental number | 2162 |
| Religion | Church of England |
| Occupation | Butcher |
| Address | Laverton, via Albury, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Wm Fugger, Laverton, via Albury, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/21/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A63 Karoola on |