| Regimental number | 969 |
| Place of birth | Flushing NETHERLANDS |
| Religion | Church of England |
| Occupation | Sleeper hewer |
| Address | Preston Road, Donnybrook, Western Australia |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mrs. H.B. Wood, Preston Road, Donnybrook, Western Australia |
| Enlistment date | 17 September 1914 |
| Date of enlistment from Nominal Roll | 22 September 1914 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, C Company |
| AWM Embarkation Roll number | 23/28/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A11 Ascanius on 31 October 1914 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Battalion |
| Fate | Returned to Australia 17 March 1916 |
| Date of death | 3 October 1970 |
| Place of burial | Karrakatta Cemetery |
