| Regimental number | 109 |
| Place of birth | Kapunda South Australia |
| Religion | Roman Catholic |
| Occupation | Locomotive driver |
| Address | Stockton, New South Wales |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Friend, Miss Elsie Luhrs, 19 Nowrainie Street, Summer Hill, New South Wales |
| Enlistment date | 19 December 1916 |
| Date of enlistment from Nominal Roll | 18 December 1916 |
| Rank on enlistment | Private |
| Unit name | Section 1 |
| AWM Embarkation Roll number | 15/9/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 7 February 1917 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | al RWY |
| Fate | Returned to Australia 5 March 1917 |