| Regimental number | 17146 |
| Place of birth | Unley South Australia |
| Religion | Church of Christ |
| Occupation | Clerk |
| Address | Glenelg, South Australia |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs M C Menz, 5 East Terrace, Glenelg, South Australia |
| Enlistment date | 21 June 1916 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps February 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A30 Borda on 23 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Australian General Hospital |
| Fate | Returned to Australia 17 March 1919 |
