| Regimental number | 6276 |
| Place of birth | Mackay Queensland |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Post Office Homebush, Mackay, Queensland |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs E Matsen, Homebush, Mackay, Queensland |
| Enlistment date | 8 April 1916 |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/26/4 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A46 Clan Mcgillivray on 7 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Battalion |
| Fate | Returned to Australia 12 April 1919 |
