| Regimental number | 11209 |
| Place of birth | Norwood South Australia |
| Religion | Methodist |
| Occupation | Motor body builder |
| Address | Northcote, Victoria |
| Marital status | Married |
| Age at embarkation | 39 |
| Next of kin | Wife, Mrs F E E Munks, 21 Jackson Street, Northcote, Victoria |
| Enlistment date | 25 March 1916 |
| Rank on enlistment | Mechanic |
| Unit name | 3rd Division Ambulance Workshop |
| AWM Embarkation Roll number | 26/107/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A34 Persic on 3 June 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 3rd Division MTC |
| Fate | Returned to Australia 4 July 1919 |
