| Regimental number | 2604 |
| Religion | Church of England |
| Occupation | Tailor's cutter |
| Address | Marrickville, New South Wales |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs Annie Elizabeth Fraser, 280 Marrickville Road, Marrickville, New South Wales |
| Enlistment date | 12 November 1917 |
| Date of enlistment from Nominal Roll | 4 November 1914 |
| Rank on enlistment | 2nd Air Mechanic |
| Unit name | Special Draft 2 |
| AWM Embarkation Roll number | 8/15/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 22 December 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Flying Corps |
| Fate | Effective abroad (still overseas) |
