| Regimental number | 3053 |
| Religion | Methodist |
| Occupation | Carpenter |
| Address | Government Road, Kelmscott, Port Adelaide, South Australia |
| Marital status | Married |
| Age at embarkation | 21 |
| Next of kin | Wife, Mrs I Moritz, Government Road, Port Adelaide, South Australia |
| Enlistment date | 19 July 1915 |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/27/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A70 Ballarat on 14 September 1915 |
| Rank from Nominal Roll | Private |
