| Regimental number | 5776 |
| Religion | Church of England |
| Occupation | Baker |
| Address | 1 Cunningham Street, Northcote, Victoria |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs S Wangman, 1 Cunningham Street, Northcote, Victoria |
| Enlistment date | 11 February 1916 |
| Date of enlistment from Nominal Roll | 10 March 1916 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/22/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A14 Euripides on 4 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 58th Battalion |
| Fate | Returned to Australia 15 May 1919 |