| Regimental number | 3776 |
| Place of birth | Amberley Victoria |
| Religion | Roman Catholic |
| Occupation | Soldier |
| Address | Laverton, Victoria |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs M E Fonteneau, c/o Werribee PO, Werribee, Victoria |
| Previous military service | AFC |
| Enlistment date | |
| Rank on enlistment | Sergeant |
| Unit name | Australian Flying Corps - Special Draft |
| AWM Embarkation Roll number | 8/15/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
