| Regimental number | 17248 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | c/o Mrs R Laing, Eden, New South Wales |
| Marital status | Married |
| Age at embarkation | 21 |
| Next of kin | Wife, Mrs L A Viegel, c/o Mrs R Laing, Eden, New South Wales |
| Enlistment date | 11 October 1915 |
| Rank on enlistment | Gunner |
| Unit name | Divisional Ammunition Column 5, Reinforcement 3 |
| AWM Embarkation Roll number | 25/93/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A69 Warilda on 22 May 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |