| Regimental number | 6583 |
| Place of birth | Hackney South Australia |
| Religion | Congregational |
| Occupation | Shop assistant |
| Address | Dulwich, South Australia |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs C L Koerner, Dulwich Avenue, Dulwich, South Australia |
| Enlistment date | 25 September 1916 |
| Rank on enlistment | Private |
| Unit name | 27th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/44/5 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A28 Miltiades on 24 January 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 27th Battalion |
| Fate | Returned to Australia 13 March 1918 |
