| Regimental number | 3695 |
| Place of birth | Port Melbourne Victoria |
| Religion | Church of England |
| Occupation | Sausage casing worker |
| Address | 19 Provost Street, North Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 41 |
| Next of kin | Wife, Mrs Ethel Myberg, 19 Provost Street, North Melbourne, Victoria |
| Enlistment date | 17 February 1917 |
| Rank on enlistment | Private |
| Unit name | 2nd Pioneer Battalion, Reinforcement 9 |
| AWM Embarkation Roll number | 14/14/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A9 Shropshire on 11 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Pioneer Battalion |
| Fate | Returned to Australia 24 August 1918 |