| Regimental number | 6053 |
| Place of birth | Perth, Western Australia |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Mount McKenzie, South Australia |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Aunt, Mrs Anne Wagener, Mount McKenzie, South Australia |
| Enlistment date | 27 September 1916 |
| Rank on enlistment | 2nd Lieutenant |
| Unit name | 27th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/44/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A19 Afric on 6 November 1916 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 7th Trench Mortar Battery |
| Fate | Returned to Australia 4 June 1919 |