| Regimental number | 5083 |
| Place of birth | Ipswich Queensland |
| Religion | Church of England |
| Occupation | Woodworker |
| Address | Valley, Queensland |
| Marital status | Married |
| Age at embarkation | 23 |
| Next of kin | Wife, Mrs. Lillith Fanny Ottesen, 26 Warner Street, Valley, Queensland |
| Enlistment date | 6 March 1917 |
| Rank on enlistment | Private |
| Unit name | 31st Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/48/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on 14 June 1917 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 41st Battalion |
| Fate | Returned to Australia 31 March 1919 |
