| Regimental number | 5176 |
| Place of birth | Melbourne Victoria |
| Religion | Church of England |
| Occupation | Miner |
| Address | Robert Street, Collie, Western Australia |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs E Olsen, Robert Street, Collie, Western Australia |
| Enlistment date | 10 February 1916 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/28/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A9 Shropshire on 31 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Machine Gun Battalion |
| Fate | Returned to Australia 12 May 1919 |
