| Regimental number | 53750 |
| Place of birth | East Sydney New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Newtown, New South Wales |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs M Jansen, 115 Campbell Street, Newtown, Sydney, New South Wales |
| Enlistment date | 10 December 1917 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 4 |
| AWM Embarkation Roll number | 23/111/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Feldmarschall on 19 June 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 55th Battalion |
| Fate | Effective abroad (still overseas) |
