| Regimental number | 664 |
| Occupation | Stoker |
| Address | Freeling, South Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Miss M Fritsche, Freeling, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, F Company |
| AWM Embarkation Roll number | 23/29/1 |
| Embarkation details | Unit embarked from Hobart, Tasmania, on board Transport A2 Geelong on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |