| Regimental number | 1754 |
| Place of birth | Northcote, Victoria |
| Religion | Presbyterian |
| Occupation | Tailors cutter |
| Address | 8 Rossmoyne Street, Northcote Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 26 |
| Next of kin | Mrs Bertha Paarman, 8 Rossmoyne Street, Northcote Melbourne, Victoria |
| Enlistment date | 29 December 1914 |
| Place of enlistment | Melbourne, Victoria |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/38/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A64 Demosthenes on 16 July 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps Details |
| Fate | Returned to Australia 15 April 1918 |