| Regimental number | 4563 |
| Place of birth | Muswellbrook New South Wales |
| Religion | Roman Catholic |
| Occupation | Car driver |
| Address | Beardy Street, Armidale, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Ida Fuz, 202 Marrickville Road, Marrickville, Sydney, New South Wales |
| Enlistment date | 2 July 1917 |
| Rank on enlistment | Private |
| Unit name | 1st Pioneer Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 14/13/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 31 October 1917 |