| Regimental number | 1795 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Van driver |
| Address | Powell Street, Homebush, New South Wales |
| Marital status | Married |
| Age at embarkation | 26 |
| Next of kin | Wife, Mrs M M Wagner, Powell Street, Homebush, New South Wales |
| Enlistment date | 18 May 1915 |
| Date of enlistment from Nominal Roll | 17 May 1915 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/34/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A23 Suffolk on 28 July 1915 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 17th Battalion |
| Fate | Returned to Australia 9 March 1919 |
