| Regimental number | 2175 |
| Place of birth | Adelaide, South Australia |
| Religion | Roman Catholic |
| Occupation | Cooper |
| Address | 5 Edsall Street, Norwood, South Australia |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs M Cassebohm, 5 Edsall Street, Norwood, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company June 1917, General Reinforcements |
| AWM Embarkation Roll number | 24/36/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board SS Indarra on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Machine Gun Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
