| Regimental number | 1533 |
| Religion | Church of England |
| Occupation | Miner |
| Address | Port Pirie, South Australia |
| Age at embarkation | 32 |
| Next of kin | Sister, Mrs S Blaschki, PO, Port Pirie, South Australia |
| Enlistment date | 1 December 1914 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/19/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A49 Seang Choon on 11 February 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |