| Regimental number | 3888 |
| Place of birth | Oakbank South Australia |
| Religion | Methodist |
| Occupation | Labourer |
| Address | 27 North Parade, Torrensville, South Australia |
| Marital status | Married |
| Age at embarkation | 39 |
| Next of kin | Wife, Mrs 0 M Rollbusch, 27 North Parade, Torrensville, South Australia |
| Enlistment date | 9 August 1915 |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/27/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board RMS Malwa on 2 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Battalion |
| Fate | Returned to Australia 4 May 1917 |