| Regimental number | 14912 |
| Place of birth | Bundaberg Queensland |
| Religion | Church of England |
| Occupation | Bricklayer |
| Address | Bexley, New South Wales |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs Violet Victoria Ericksen, Veraville, Farr Street, Rockdale, New South Wales |
| Enlistment date | |
| Rank on enlistment | Sapper |
| Unit name | 1st Field Squadron Engineers, August 1916 Reinforcements |
| AWM Embarkation Roll number | 14/36/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Malwa on |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 2nd Field Squadron Engineers |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
