| Regimental number | 11154 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Tailor |
| Address | Glenelg, South Australia |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs C Kurtz, Partridge Street, Glenelg, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | May 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A48 Seang Bee on |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 11th Field Ambulance |
| Fate | Returned to Australia |