| Regimental number | 1375 |
| Place of birth | Melbourne, Victoria |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | Trafalgar, Victoria |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mrs J Diener, Trafalgar, Victoria |
| Enlistment date | |
| Rank on enlistment | Driver |
| Unit name | Field Artillery Brigade 2, Brigade Ammunition Column |
| AWM Embarkation Roll number | 13/30/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A27 Southern on |