| Regimental number | 14990 |
| Place of birth | Pernau Russia |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 41 |
| Next of kin | Mother, Mrs Mary Tammai (address unknown), friend, Richard Barnes, Cottesloe, Fremantle Road, Perth WA |
| Enlistment date | 1 January 1916 |
| Rank on enlistment | Sapper |
| Unit name | August 1916 Reinforcements |
| AWM Embarkation Roll number | 14/42/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A60 Aeneas on 30 September 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 7th Field Company Engineers |
| Fate | Returned to Australia 15 September 1918 |