| Regimental number | 13774 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Compositor and printer |
| Address | Leichhardt, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs C Engisch, 8 Arthur Street, Leichhardt, New South Wales |
| Enlistment date | 7 October 1915 |
| Date of enlistment from Nominal Roll | 7 October 1915 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, Special Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A61 Kanowna on 29 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Field Ambulance |
| Fate | Returned to Australia 25 November 1917 |
