| Regimental number | 2595 |
| Place of birth | Aralseor Russia |
| Religion | Church of England |
| Occupation | Sailor |
| Address | c/o Mrs Caffin, North Parade, Port Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mrs A Pertel, Torgurosk, Aralscor, Russia |
| Enlistment date | 3 May 1915 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/29/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT Morea on 26 August 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 49th Battalion |
| Fate | Returned to Australia 5 April 1919 |
