| Regimental number | 180 |
| Place of birth | Gippsland Victoria |
| Religion | Presbyterian |
| Occupation | Farmer |
| Address | Drouin, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Jessie Kowarzik, Aberfeldy, Drouin, Victoria |
| Enlistment date | 14 March 1916 |
| Rank on enlistment | Private |
| Unit name | 3rd Divisional Cyclist Company |
| AWM Embarkation Roll number | 12/6/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A64 Demosthenes on 18 May 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |