| Regimental number | +5436 |
| Place of birth | Parkside South Australia |
| Religion | Protestant |
| Occupation | Clerk |
| Address | Elizabeth Stree, Eastwood, South Australia |
| Marital status | Married |
| Age at embarkation | 24 |
| Next of kin | Wife, Mrs J M Menz, Elizabeth Stree, Eastwood, South Australia |
| Enlistment date | 24 May 1915 |
| Rank on enlistment | Private |
| Unit name | Field Ambulance 3, Reinforcement 9 |
| AWM Embarkation Roll number | 26/46/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A15 Star Of England on 21 September 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Field Ambulance |
| Fate | Returned to Australia 16 June 1919 |