| Regimental number | 6216 |
| Place of birth | Rockylead Victoria |
| Religion | Methodist |
| Occupation | Carpenter |
| Address | Subiaco, Western Australia |
| Marital status | Married |
| Age at embarkation | 45 |
| Next of kin | Wife, Mrs L V Marcussen, 32 Denis Street, Subiaco, Western Australia |
| Enlistment date | 1 March 1916 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/28/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A46 Clan Macgillivray on 18 September 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 11th Battalion |
| Fate | Returned to Australia 27 September 1917 |
