
| Regimental number | 696 |
| Place of birth | Wilcannia New South Wales |
| Religion | Church of England |
| Occupation | Colt breaker |
| Address | White Cliffs, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs Sarah Ada Hageman, Chapple Street, off Zebina street, Broken Hills, New South Wales |
| Enlistment date | |
| Unit name | 43rd Battalion, D Company |
| AWM Embarkation Roll number | 23/60/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A19 Afric on |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 43rd Battalion |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 95 Date: |