| Regimental number | 1622 |
| Place of birth | Angaston, South Australia |
| Religion | Church of Christ |
| Occupation | Cook |
| Address | Tanunda, South Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Height | 5' 7.25" |
| Weight | 138 lbs |
| Next of kin | Harry Koithan, Tanunda, South Australia |
| Previous military service | Served in the Citizen Military Forces for 18 months; left to go to the country (exempt). |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Place of enlistment | Melbourne, Victoria |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/23/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A54 Runic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Battalion |
| Fate | Returned to Australia |
| Discharge date | |
| Other details |
War service: Egypt, Gallipoli Wounded in action, 8 May 1915 (gun shot wound, chest, side; admitted to No 2 Auxiliary Hospital, Heliopolis, 14 May 1915; fit to travel by Hospital Ship to England, 5 August 1915; admitted to Bethnal Green, 15 August 1915. Transferred to Egypt for return to Australia, 8 April 1916. Commenced return to Australia from Suez on board HT 'Kanowna', 11 May 1916; discharged, 15 December 1916. Medals: 1914-15 Star, British War Medal, Victory Medal |