| Regimental number | 2550 |
| Religion | Methodist |
| Occupation | Fitter |
| Address | c/o Mrs Emily Jane Kiersnowski, Landsberg Estate, Rockhampton, Queensland |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Emily Jane Kiersnowski, c/o Mrs Emily Jane Kiersnowski, Landsberg Estate, Rockhampton, Queensland |
| Previous military service | 14th ALH |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 42nd Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/59/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A55 Kyarra on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Battalion |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |