| Regimental number | 436 |
| Place of birth | Williamstown Victoria |
| Religion | Presbyterian |
| Occupation | Bookkeeper |
| Address | 302 Raglan Street, Ballarat, Victoria |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Father, --Kopke, 302 Raglan Street, Ballarat, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 4th Light Horse Regiment, C Squadron |
| AWM Embarkation Roll number | 10/9/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A18 Wiltshire on |