| Regimental number | 2404 |
| Place of birth | Gayndah Queensland |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Maryborough, Queensland |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs Sophie Hotz, Mount Perry, Queensland |
| Enlistment date | 14 July 1916 |
| Rank on enlistment | Private |
| Unit name | 42nd Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/59/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A36 Boonah on 21 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 42nd Battalion |
| Fate | Returned to Australia 5 November 1917 |
