| Regimental number | 613 |
| Place of birth | Brunswick Victoria |
| Religion | Church of England |
| Occupation | Ironworker |
| Address | 42 Ireland Street, West Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs I Falk, 42 Ireland Street, West Melbourne, Victoria |
| Enlistment date | 4 December 1916 |
| Date of enlistment from Nominal Roll | 25 November 1916 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 4, Reinforcement 10 |
| AWM Embarkation Roll number | 24/9/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A70 Ballarat on 19 February 1917 |
| Regimental number from Nominal Roll | 613A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | ABD |
| Fate | Returned to Australia 15 June 1919 |
