| Regimental number | 3779 |
| Place of birth | Brunswick Victoria |
| Religion | Methodist |
| Occupation | Soldier |
| Address | West Brunswick, Victoria |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Father, W Lord, 138 Heller Street, West Brunswick, Victoria |
| Previous military service | AFC |
| Enlistment date | 9 September 1918 |
| 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 28 February 1918 |
| Fate | No details of fate entered on Nominal Roll |
