| Regimental number | 34 |
| Place of birth | Antwerp Belgium: POE Adelaide, South Australia |
| Religion | Church of England |
| Occupation | Seaman |
| Address | Willmott Street, Glanville, South Australia |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs Mary A.F. Berck, same address |
| Enlistment date | 17 January 1916 |
| Rank on enlistment | Private |
| Unit name | 43rd Battalion, A Company |
| AWM Embarkation Roll number | 23/60/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A19 Afric on 9 June 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 43rd Battalion |
| Fate | Returned to Australia 31 October 1917 |
