| Regimental number | 5197 |
| Place of birth | Oakbank South Australia |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Oakbank, South Australia |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs C F Rollbusch, Oakbank, South Australia |
| Enlistment date | 21 January 1916 |
| Date of enlistment from Nominal Roll | 20 January 1916 |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/27/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A9 Shropshire on 25 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Battalion |
| Fate | Returned to Australia 12 May 1918 |