| Regimental number | *129 |
| Place of birth | Melbourne Victoria |
| Religion | Church of England |
| Occupation | Dental assistant |
| Marital status | Married |
| Age at embarkation | 36 |
| Next of kin | Wife, Mrs Lily Pietriche, 103 Hamilton Street, Middle Park, Victoria |
| Enlistment date | 18 November 1914 |
| Rank on enlistment | Private |
| Unit name | 1 Australian General Hospital (November 1914) |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board Transport A55 Kyarra on 21 November 1914 |
| Regimental number from Nominal Roll | 129 |
| Rank from Nominal Roll | Staff Sergeant |
| Unit from Nominal Roll | Australian Army Medical Corps Details |
| Fate | Returned to Australia 21 July 1917 |
