| Regimental number | 59288 |
| Place of birth | Sydney New South Wales |
| Religion | Roman Catholic |
| Occupation | Hardener, Small Arms Factory |
| Address | Lithgow, New South Wales |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs M C Bohlsen, Mort Street, Lithgow, New South Wales |
| Enlistment date | 12 March 1918 |
| Date of enlistment from Nominal Roll | 12 March 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 12 |
| AWM Embarkation Roll number | 23/111/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on 17 July 1918 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 18th Battalion |
| Fate | Returned to Australia 3 May 1919 |