| Regimental number | 4574 |
| Place of birth | Melbourne Victoria |
| Religion | Church of England |
| Occupation | Shop assistant |
| Address | 120 Princes Street, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs K Mietzke, 120 Princes Street, Sydney, New South Wales |
| Enlistment date | 15 November 1915 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/21/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A62 Wandilla on 3 February 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Pioneer Battalion |
| Fate | Returned to Australia 12 May 1919 |
