| Regimental number | 4156 |
| Place of birth | Tanunda South Australia |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Roseberry Park, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs May Lilly Nicolai, address unknown; cousin, Esther Fallkenberg, Tanunda, South Australia |
| Enlistment date | 9 February 1916 |
| Rank on enlistment | Private |
| Unit name | 1st Pioneer Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 14/13/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 16 June 1917 |
