| Regimental number | 9963 |
| Place of birth | Stroud New South Wales |
| Religion | Church of England |
| Occupation | Plumber |
| Address | 9 Kenilworth Street, Waverley, New South Wales |
| Marital status | Married |
| Age at embarkation | 22 |
| Next of kin | Wife, Mrs Ruby Schuberg, 22 George Street, Manly, New South Wales |
| Enlistment date | 20 March 1916 |
| Rank on enlistment | Sapper |
| Unit name | 9th Field Company Engineers |
| AWM Embarkation Roll number | 14/28/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A31 Ajana on 5 July 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 9th Field Company Engineers |
| Fate | Returned to Australia 9 March 1919 |
