| Regimental number | 7566 |
| Place of birth | North Melbourne Victoria |
| Religion | Church of England |
| Occupation | Coachpainter |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, R M Wiedemann, Wentworth, New South Wales |
| Enlistment date | 23 November 1916 |
| Date of enlistment from Nominal Roll | 21 November 1916 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 25th Reinforcement |
| AWM Embarkation Roll number | 23/29/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on 14 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 40th Battalion |
| Fate | Returned to Australia 6 November 1918 |