
| Regimental number | 3376 |
| Place of birth | Adelaide, South Australia |
| Religion | Church of England |
| Occupation | Electrical engineer |
| Address | Hughes Street, Mile End, South Australia |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs Alice Ivy Bollen, Hughes Street, Mile End, South Australia |
| Enlistment date | |
| Place of enlistment | Adelaide, South Australia |
| Rank on enlistment | Sapper |
| Unit name | 6th Field Company Engineers |
| AWM Embarkation Roll number | 14/25/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | Australian Corps Signal Company |
| Fate | Returned to Australia |
| Other details |
War service: Egypt, Western Front |
| Date of death | |
| Age at death | 64 |
| Place of burial | AIF Cemetery (Row, 6 Grave No. 38), West Terrace, Adelaide, South Australia |