| Regimental number | 17577 |
| Place of birth | Bendigo Victoria |
| Religion | Church of England |
| Occupation | Dental mechanic |
| Address | Lorne, Victoria |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, M Umhauer, Pakenham Hotel, Pakenham, Victoria |
| Enlistment date | 29 December 1916 |
| Rank on enlistment | Private |
| Unit name | Dental Details |
| AWM Embarkation Roll number | 26/105/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A17 Port Lincoln on 22 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Dental Corps |
| Fate | Effective abroad (still overseas) |
