| Regimental number | 734 |
| Place of birth | Leeds, England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Sarina via Mackay, Queensland |
| Marital status | Single |
| Age at embarkation | 44 |
| Next of kin | Sister, Mrs Fanny Violet Rassmussen, Sarina via Mackay, Queensland |
| Enlistment date | 25 January 1917 |
| Place of enlistment | Mackay, Queensland |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 15, Reinforcement 13 |
| AWM Embarkation Roll number | 24/20/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A29 Suevic on 21 June 1917 |
| Regimental number from Nominal Roll | 734A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 41st Battalion |
| Fate | Returned to Australia 9 December 1918 |
