| Regimental number | 3484 |
| Place of birth | Junee New South Wales |
| Religion | Church of England |
| Occupation | Bank accountant |
| Address | Summer Hill, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Edith Tevelein, 18 Grosvenor Crescent, Summer Hill, New South Wales |
| Previous military service | 16th Battery Australian Field Artillery |
| Enlistment date | 3 January 1917 |
| Rank on enlistment | Private |
| Unit name | 56th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/73/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on 24 January 1917 |
| Regimental number from Nominal Roll | 3484A |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 5th Divisional Signal Company |
| Fate | Returned to Australia 7 July 1919 |
