| Regimental number | 1075 |
| Religion | Methodist |
| Occupation | Cabinetmaker |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs Lily Lee, 14 Austin Street, Footscray, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Australian Flying Corps, No 4 Squadron, C Flight |
| AWM Embarkation Roll number | 8/7/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Omrah on |
| Fate | No details of fate entered on Nominal Roll |