| Regimental number | 3979 |
| Place of birth | Point Pass South Australia |
| Religion | Church of England |
| Occupation | Gardener |
| Address | Magill P O, Magill, South Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Wagner, Magill P O, Magill, South Australia |
| Enlistment date | 30 March 1915 |
| Date of enlistment from Nominal Roll | 6 April 1915 |
| Rank on enlistment | Private |
| Unit name | Infantry Brigade 7, Field Ambulance 7, Section B |
| AWM Embarkation Roll number | 26/50/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A2 Geelong on 31 May 1915 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT Clan Mcewan on 28 June 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 7th Field Ambulance |
| Fate | Returned to Australia 4 August 1915 |
