| Regimental number | 7379 |
| Place of birth | Hay New South Wales |
| Religion | Church of England |
| Occupation | Rabbit trapper |
| Address | Brunswick, Victoria |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs L M Kulper, South Wagga, New South Wales |
| Enlistment date | 6 February 1917 |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 24th Reinforcement |
| AWM Embarkation Roll number | 23/31/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A70 Ballarat on 19 February 1917 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
