| Regimental number | 2004 |
| Place of birth | Hammond South Australia |
| Religion | Methodist |
| Occupation | Labourer |
| Address | 24 Lowe Street, Adelaide, South Australia |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs Bertha May Werfel, 21 Claxton Street, Adelaide, South Australia |
| Enlistment date | 12 January 1916 |
| Rank on enlistment | Private |
| Unit name | 50th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/67/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A48 Seang Bee on 13 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 43rd Battalion |
| Fate | Returned to Australia 8 April 1918 |
