| Regimental number | 6380 |
| Place of birth | Tarpsborg Norway |
| Religion | Church of England |
| Occupation | Seaman |
| Address | 88 Capel street West, Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mrs Emily Poole, 88 Capel Street, West Melbourne, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 23rd Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/40/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A20 Hororata on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 23rd Battalion |
| Recommendations (Medals and Awards) |
Military Medal Recommendation date: |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Fawkner Cemetery |