| Regimental number | 1712 |
| Place of birth | Sydney New South Wales |
| Religion | Presbyterian |
| Occupation | Fireman |
| Address | C/o Mrs L Seiffert, Sloane Street, Goulburn, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs Hannah Patek, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 55th Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/72/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 55th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
