| Regimental number | 1104 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Butcher |
| Address | 35 Goodsir Street, Rozelle, New South Wales |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs S Wieland, 22 Church Hill, Walthamstow, London, England |
| Enlistment date | 29 May 1916 |
| Rank on enlistment | Private |
| Unit name | Light Trench Mortar Battery, Reinforcement 1 |
| AWM Embarkation Roll number | 13/130/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 9 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Veterinary Hospital |
| Fate | Returned to Australia 17 March 1919 |