| Regimental number | 1107 |
| Place of birth | Riga Russia |
| Religion | Church of England |
| Occupation | Seaman |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Jacob Beern, 70 Alexander Street, Riga, Russia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 1st Reinforcement |
| AWM Embarkation Roll number | 23/20/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 45th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
