| Regimental number | 6110 |
| Place of birth | Maryborough Queensland |
| Religion | Methodist |
| Occupation | Seaman |
| Address | Lennox Street, Maryborough, Queensland |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs Claudia Mathiesen, Lennox Street, Maryborough, Queensland |
| Enlistment date | 10 August 1916 |
| Date of enlistment from Nominal Roll | 10 October 1916 |
| Rank on enlistment | Private |
| Unit name | 25th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/42/5 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A75 Marathon on 27 October 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 4th Motor Transport Company |
| Fate | Returned to Australia 15 June 1919 |
