| Regimental number | 430 |
| Place of birth | Switzerland |
| Religion | Church of England |
| Occupation | Bricklayer |
| Address | Royal Hotel, Blackall, Queensland |
| Marital status | Single |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs Bessie Claussen, 18 Herbert Street, Spring Hill, Brisbane, Queensland |
| Enlistment date | 7 July 1916 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 11, Reinforcement 5 |
| AWM Embarkation Roll number | 24/16/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 25 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Machine Gun Battalion |
| Fate | Returned to Australia 1 April 1919 |