| Regimental number | 67021 |
| Place of birth | Tamworth New South Wales |
| Religion | Roman Catholic |
| Occupation | Carter |
| Address | Marcious Street, Tamworth, New South Wales |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs J Uhrig, 4 Lees Avenue, Lilyfield, Sydney, New South Wales |
| Enlistment date | 29 April 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 23 |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Wyreema on 14 October 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
