| Regimental number | 110 |
| Religion | Roman Catholic |
| Occupation | Cook |
| Address | Vise, Belgium |
| Marital status | Single |
| Age at embarkation | 37 |
| Next of kin | Mother, Mrs Huberta Deshen Wust, Vise, Belgium |
| Enlistment date | 23 December 1914 |
| Date of enlistment from Nominal Roll | 29 September 1916 |
| Rank on enlistment | Private |
| Unit name | Australian Naval & Military Expeditionary Force (Queensland Reinforcement) |
| Regimental number from Nominal Roll | 6545 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Battalion |
| Fate | Returned to Australia 22 July 1917 |
