| Regimental number | 3968 |
| Place of birth | Melbourne Victoria |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Burleigh Street, Burwood, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Mrs A Lazarus, Burleigh Street, Burwood, Sydney, New South Wales |
| Enlistment date | 20 October 1915 |
| Date of enlistment from Nominal Roll | 29 October 1915 |
| Rank on enlistment | Acting Sergeant |
| Unit name | 20th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/37/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on 20 January 1916 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 20th Battalion |
| Fate | Returned to Australia 22 December 1918 |
