| Regimental number | 1517 |
| Religion | Protestant |
| Occupation | Boundary rider |
| Address | Cockatoo Valley near Gawler, South Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mrs L Bansemer, Cockatoo Valley, South Australia |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/27/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A54 Runic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
