| Regimental number | 3786 |
| Religion | Church of England |
| Occupation | Baker |
| Address | Forrest Vale, Warra, Queensland |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs E Kusch, Forrest Vale Warra, Queensland |
| Enlistment date | 25 September 1915 |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A23 Suffolk on 30 November 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Battalion |
| Fate | Returned to Australia 1 February 1918 |
