| Regimental number | 4073 |
| Place of birth | Taree New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Taree, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs L Schubert, Vic Street, Taree, Manning River, New South Wales |
| Enlistment date | 4 August 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/20/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 30 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 45th Battalion |
| Fate | Returned to Australia 17 December 1918 |
