| Regimental number | 3698 |
| Place of birth | Brisbane Queensland |
| Religion | Church of England |
| Occupation | Cook |
| Address | Darlinghurst, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs Mary Reiss, Eaton Estate, Gladstone Street, Toowoomba, Queensland |
| Enlistment date | 6 July 1917 |
| Date of enlistment from Nominal Roll | 4 July 1917 |
| Rank on enlistment | Private |
| Unit name | 56th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/73/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 31 October 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 56th Battalion |
| Fate | Returned to Australia 12 December 1918 |
