| Regimental number | 3503 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | South Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs S J Schultz, 236 Montague Street, South Melbourne, Victoria |
| Enlistment date | 17 July 1915 |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/31/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 11 October 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |