| Regimental number | 113 |
| Place of birth | N/A Mauritius |
| Religion | Roman Catholic |
| Occupation | Masseur |
| Address | 23 Airlie Street, South Yarra, Victoria |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Madame Paula Slawski, 23 Airlie Street, South Yarra, Victoria |
| Enlistment date | 18 September 1914 |
| Rank on enlistment | Private |
| Unit name | 1st Light Horse Field Ambulance, A Squadron |
| AWM Embarkation Roll number | 26/39/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board Transport A27 Southern on 23 September 1914 |
| Rank from Nominal Roll | Staff Sergeant |
| Unit from Nominal Roll | 2nd Australian General Hospital |
| Fate | Returned to Australia 23 July 1919 |
