| Regimental number | 9642 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Tone etcher |
| Address | 65 Pile Street, Marrickville, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Emma Stackelberg, 65 Pile Street, Marrickville, New South Wales |
| Enlistment date | 17 January 1916 |
| Rank on enlistment | Private |
| Unit name | Divisional Train Reinforcements 15 |
| AWM Embarkation Roll number | 25/14/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Star Of England on 8 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Motor Transport Section |
| Fate | Returned to Australia 4 July 1919 |