| Regimental number | 4154 |
| Place of birth | Maryborough Queensland |
| Religion | Methodist |
| Occupation | Miner |
| Address | Calton Hill, Gympie, Queensland |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs E Domin, Calton Hill, Gympie, Queensland |
| Enlistment date | 7 September 1915 |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A55 Kyarra on 3 January 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 47th Battalion |
| Fate | Returned to Australia 21 April 1918 |
| Date of death | 1 May 1952 |
| Place of burial | Gympie Cemetery |
