| Regimental number | 21811 |
| Place of birth | Gympie Queensland |
| Religion | Church of England |
| Occupation | Dental mechanic |
| Address | Chatswood, New South Wales |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Wife, Mrs G E Kluver, 'Benoni', Darling Street, Chatswood, New South Wales |
| Enlistment date | 24 September 1918 |
| Rank on enlistment | Staff Sergeant |
| Unit name | Dental Details |
| AWM Embarkation Roll number | 26/105/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board SS Boonah on 22 October 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
