| Regimental number | 61403 |
| Place of birth | Melbourne Victoria |
| Religion | Church of England |
| Occupation | Motor mechanic |
| Address | 2 Rushall Crescent, North Fitzroy, Victoria |
| Marital status | Married |
| Age at embarkation | 39 |
| Next of kin | Wife, Mrs P A Hammerberg, 2 Rushall Crescent, North Fitzroy, Victoria |
| Enlistment date | 7 May 1918 |
| Rank on enlistment | Private |
| Unit name | 11th General (Victorian) Reinforcements |
| AWM Embarkation Roll number | 23/111/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A37 Barambah on 31 August 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Service Corps Details |
| Fate | Returned to Australia 9 August 1919 |
