| Regimental number | 96 |
| Occupation | Compositor |
| Next of kin | c/o Mrs Haverstein, Gloucester Road, Hurstville, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Naval and Military Expeditionary Force (Tropical Unit), A Company |
| AWM Embarkation Roll number | 23/112/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A35 Berrima on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |