| Regimental number | 55858 |
| Place of birth | Lublin Poland |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Port Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 36 |
| Next of kin | Friend, Mrs G J Kitto, 'Celmscott', Leader Street, Port Adelaide, South Australia |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | General Reinforcements (2nd South Australian) |
| AWM Embarkation Roll number | 23/111/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Orontes on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 43rd Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
