| Regimental number | 6531 |
| Place of birth | Pialba Queensland |
| Religion | Methodist |
| Occupation | Platelayer |
| Address | Crown Street, Newtown Maryborough, Queensland |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs A Martens, Crown Street, Newtown Maryborough, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A36 Boonah on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Machine Gun Battalion Details |
| Recommendations (Medals and Awards) |
Military Medal Recommendation date: |
| Fate | Returned to Australia |