| Regimental number | 4647 |
| Place of birth | Kaniva Victoria |
| Religion | Church of England |
| Occupation | Clerk |
| Address | 96 Egan Street, Kalgoorlie, Western Australia |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs K Lackmann, Inverell, New South Wales |
| Enlistment date | 22 November 1915 |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/33/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A28 Miltiades on 12 February 1916 |
| Fate | No details of fate entered on Nominal Roll |
