| Regimental number | 6567 |
| Place of birth | Goondiwindi Queensland |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Toowoomba, Queensland |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Mother, Mrs C Lenz, Drayton, Toowoomba, Queensland |
| Enlistment date | 5 December 1916 |
| Rank on enlistment | Private |
| Unit name | 26th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/43/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 7 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 26th Battalion |
| Fate | Returned to Australia 7 February 1919 |