| Regimental number | 3331 |
| Place of birth | Pyrmont New South Wales |
| Religion | Church of England |
| Occupation | Engineer |
| Address | 152 Bank Street, Pyrmont, New South Wales |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs L M Nissen, 154 Bank Street, Pyrmont, New South Wales |
| Enlistment date | 14 December 1915 |
| Rank on enlistment | Private |
| Unit name | 18th Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/35/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A29 Suevic on 20 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Battalion |
| Fate | Returned to Australia 19 October 1918 |
