| Regimental number | 1668 |
| Place of birth | Nancy France |
| Religion | Church of England |
| Occupation | Waiter |
| Address | 135 Little Collins Street, Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 36 |
| Next of kin | Wife, Mrs Mary Poys Burgere, Rue Hamitlas, Nancy, France |
| Enlistment date | 7 February 1915 |
| Date of enlistment from Nominal Roll | 2 July 1915 |
| Rank on enlistment | Private |
| Unit name | 2nd Pioneer Battalion, Reinforcement 2 |
| AWM Embarkation Roll number | 14/14/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A60 Aeneas on 8 April 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 2nd Pioneer Battalion |
| Fate | Returned to Australia 13 February 1917 |
