| Regimental number | 4911 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Maitland, Yorkes Peninsula, South Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Friend, Mrs G Hoffmann, Lyndoch, South Australia |
| Enlistment date | 5 August 1915 |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/27/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board RMS Mongolia on 9 March 1916 |
| Miscellaneous details (Nominal Roll) | crossed out on n.r. |
