| Regimental number | 3649 |
| Place of birth | Brisbane Queensland |
| Occupation | Carter |
| Address | East Brisbane, Queensland |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Wife, Mrs Harriet Beatrice Gampe, Fisher Street, East Brisbane, Queensland |
| Enlistment date | 4 May 1917 |
| Rank on enlistment | Private |
| Unit name | 49th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/66/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 1 August 1917 |
| Regimental number from Nominal Roll | 3649B |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 26th Battalion |
| Fate | Returned to Australia 24 July 1919 |