| Regimental number | 50938 |
| Place of birth | Warsaw Poland |
| Religion | Roman Catholic |
| Occupation | Sculptor |
| Address | Erskineville, New South Wales |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife, Mrs L T Roth, 6 Victoria Street, Erskineville, New South Wales |
| Enlistment date | 4 February 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 1 |
| AWM Embarkation Roll number | 23/111/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Osterley on 8 May 1918 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | Engineers Details |
| Fate | Effective abroad (still overseas) |
