| Regimental number | 6064 |
| Place of birth | Melbourne Vic |
| Religion | Church of England |
| Occupation | Cook |
| Address | 21 Faraday Street, Carlton, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Esther Hussen, 24 Faraday Street, Carlton, Victoria |
| Enlistment date | 29 August 1916 |
| Rank on enlistment | Private |
| Unit name | 23rd Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/40/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A8 Argyllshire on 31 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 23rd Battalion |
| Fate | Returned to Australia 25 November 1917 |
