| Regimental number | 2401 |
| Religion | Roman Catholic |
| Occupation | Clerk |
| Address | Blende Street off Chloride Street, Broken Hill, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs Susan Theilgard, Blende Street off Chloride Street, Broken Hill, New South Wales |
| Enlistment date | 14 January 1916 |
| Rank on enlistment | Private |
| Unit name | 3rd Pioneer Battalion, Reinforcement 3 |
| AWM Embarkation Roll number | 14/15/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A10 Karroo on 18 September 1916 |
| Regimental number from Nominal Roll | 2404 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 51st Battalion |
| Fate | Returned to Australia 20 May 1919 |
