
| Regimental number | 3504 |
| Place of birth | Petrograd Russia |
| Religion | Lutheran |
| Occupation | Sailor |
| Address | Clifton Street, Bunbury, Western Australia |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Cousin |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/33/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A24 Benalla on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 16th Battalion |
| Fate | Returned to Australia |
| Other details |
Medals: 1914-15 Star, British War Medal, Victory Medal |
| Date of death | |
| Age at death | 79 |
| Place of burial | Fremantle Cemetery, Western Australia |