| Regimental number | 173 |
| Place of birth | South Melbourne Victoria |
| Occupation | Engineer |
| Address | 74 Donald Street, Brunswick, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | W.N. Visick, 74 Donald Street, Brunswick, Victoria |
| Previous military service | 26th Signal Company Army Engineers |
| Enlistment date | 28 September 1914 |
| Rank on enlistment | Sapper |
| Unit name | Divisional Signal Company 1 |
| AWM Embarkation Roll number | 22/11/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A10 Karroo on 20 October 1914 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 4th Field Artillery Brigade |
| Fate | Returned to Australia 24 September 1918 |