| Regimental number | 3912 |
| Place of birth | Arensburg Russia |
| Religion | Church of England |
| Occupation | Seaman |
| Address | Dorgo, Arunsberg, Russia |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Sister, Maria Schet, Dorgo, Arunsberg, Russia |
| Enlistment date | 30 October 1915 |
| Rank on enlistment | Private |
| Unit name | 20th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/37/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on 20 January 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 20th Battalion |
| Fate | Returned to Australia 18 October 1917 |
