| Regimental number | 16240 |
| Place of birth | Semaphore South Australia |
| Religion | Church of England |
| Occupation | Plasterer |
| Address | Largs Bay, South Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs E Schroder, Kanowna Road, Largs Bay, South Australia |
| Enlistment date | 5 January 1916 |
| Rank on enlistment | Private |
| Unit name | November 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A35 Berrima on 16 December 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Field Ambulance |
| Fate | Returned to Australia 12 June 1919 |
