| Regimental number | 6869 |
| Place of birth | Warrenheip Victoria |
| Religion | Lutheran |
| Occupation | Labourer |
| Address | Ballarat East, Victoria |
| Marital status | Single |
| Age at embarkation | 45 |
| Next of kin | Friend, Mrs Eliz Coulson, Main Street, Ballarat, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/39/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 21st Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
