| Regimental number | 7064 |
| Place of birth | Caboolture Queensland |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Caboolture, Queensland |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs C Vieritz, Caboolture, Queensland |
| Enlistment date | 16 September 1916 |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 23rd Reinforcement |
| AWM Embarkation Roll number | 23/26/4 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A55 Kyarra on 17 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Battalion |
| Fate | Returned to Australia 11 January 1918 |
