| Regimental number | 1951 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Castlemaine, Victoria |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother, Mrs Phoebe Laurensen, Castlemaine, Victoria |
| Enlistment date | 18 June 1915 |
| Rank on enlistment | Private |
| Unit name | 25th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/42/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A55 Kyarra on 16 August 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Pioneer Battalion |
| Fate | Returned to Australia 30 January 1918 |
