| Regimental number | 2193 |
| Place of birth | Lyndoch South Australia |
| Religion | Church of England |
| Occupation | Railway porter, South Australian Railways |
| Address | Port Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs. Elizabeth Koch, Lyndoch, South Australia |
| Enlistment date | 26 November 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Light Horse Regiment, 15th Reinforcement |
| AWM Embarkation Roll number | 10/8/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A68 Anchises on 16 March 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 14th Field Artillery Brigade |
| Fate | Returned to Australia 18 December 1918 |
