| Regimental number | 67966 |
| Place of birth | Maitland New South Wales |
| Religion | Church of England |
| Occupation | Boiler cleaner |
| Address | 41 Bulwer Street, West Maitland, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs H Brossmann, 41 Bulwer Street, West Maitland, New South Wales |
| Previous military service | 16th ALH |
| Enlistment date | 31 August 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 27 |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 2 November 1918 |
| Fate | No details of fate entered on Nominal Roll |
