
| Regimental number | 7564 |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Petersburg, South Australia |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs M von Bertouch, Lloyd Street, Petersburg, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 25th Reinforcement |
| AWM Embarkation Roll number | 23/27/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A60 Aeneas on |