| Regimental number | 2136 |
| Place of birth | Logan Reserve Queensland |
| Religion | Methodist |
| Occupation | Teamster |
| Address | Moore, Brisbane Valley Line, Queensland |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Falkenhagen Burow, Moore, Brisbane Valley Line, Queensland |
| Enlistment date | 11 April 1916 |
| Rank on enlistment | Private |
| Unit name | 52nd Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/69/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A42 Boorara on 16 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 52nd Battalion |
| Fate | Returned to Australia 15 September 1918 |
