| Regimental number | 57695 |
| Place of birth | Wiborgsstad Russia |
| Religion | Church of England |
| Occupation | Seaman |
| Address | Grey Street, South Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Legatee, Mrs L Sparre, 92 Grey Street, South Brisbane, Queensland |
| Enlistment date | 14 May 1918 |
| Date of enlistment from Nominal Roll | 24 May 1918 |
| Rank on enlistment | Private |
| Unit name | Queensland Reinforcement 4 |
| AWM Embarkation Roll number | 23/111/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Orontes on 5 June 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Battalion |
| Fate | Returned to Australia 22 July 1919 |
