| Regimental number | 35875 |
| Place of birth | Richmond Victoria |
| Religion | Church of England |
| Occupation | Storeman |
| Address | 8 Chatsworth Road, East Prahran, Victoria |
| Marital status | Married |
| Age at embarkation | 36 |
| Next of kin | Wife, Mrs Edith Lucy Kohlman, 8 Chatsworth Road, East Prahran, Victoria |
| Enlistment date | 17 February 1917 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade, Reinforcement 28 |
| AWM Embarkation Roll number | 13/128/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A15 Port Sydney on 9 November 1917 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 6th Field Artillery Brigade |
| Fate | Returned to Australia 4 July 1919 |