| Regimental number | 5347 |
| Place of birth | Adelaide South Australia |
| Religion | Church of England |
| Occupation | Barman |
| Address | North Fremantle, Western Australia |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs L Sack, Mason Street, North Fremantle, Western Australia |
| Enlistment date | 28 May 1915 |
| Rank on enlistment | Private |
| Unit name | Convalescent Depot, Harefield Park, London |
| AWM Embarkation Roll number | 26/84/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A67 Orsova on 22 July 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Field Ambulance |
| Fate | Returned to Australia 6 September 1919 |
