| Regimental number | 523 |
| Place of birth | Libau Russia |
| Occupation | Seaman |
| Address | Murat Street, South Australia |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Friend, Albert Coote, Murat Bay, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 8, Reinforcement 8 |
| AWM Embarkation Roll number | 24/13/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A7 Medic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Machine Gun Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
