| Regimental number | 1122 |
| Place of birth | Odessia Russia |
| Religion | Church of England |
| Occupation | Sailor |
| Address | 24 Courty Street, North Williamstown, Victoria |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Friend, Mrs J Trendant, 24 Courty Street, North Williamstown, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, A Company |
| AWM Embarkation Roll number | 23/47/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Employment Company |
| Fate | Discharged |
| Date of death | |
| Place of burial | Innisfail Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
