| Regimental number | 5793 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Mechanic's assistant |
| Address | 30 Ferry Road, Glebe Point, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Grace Wagner, 30 Ferry Road, Glebe Point, New South Wales |
| Enlistment date | 29 May 1916 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/36/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 7 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 17th Battalion |
| Fate | Returned to Australia 19 June 1919 |
