| Regimental number | 9653 |
| Place of birth | Farina South Australia |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Fowlers Bay, South Australia |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Elizabeth Norgren, c/o Mrs F O'Loughlin, Cobalt Street, Mt Zion, Broken Hill, New South Wales |
| Enlistment date | |
| Rank on enlistment | Driver |
| Unit name | 11th Field Company Engineers, Headquarters |
| AWM Embarkation Roll number | 14/30/1 |
| Embarkation details | Unit embarked from Outer Harbour, South Australia, on board HMAT A29 Suevic on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 11th Field Company Engineers |
| Fate | Died at sea |
| Place of burial | At Sea |
| Commemoration details | Hollybrook Memorial, Southampton, England |
| Panel number, Roll of Honour, Australian War Memorial | 24 |