| Regimental number | 572 |
| Religion | Church of England |
| Occupation | Student |
| Address | Verdon Street, Inglewood, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Aunt, Mrs M Tivey, Verdon Street, Inglewood, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | 2nd Air Mechanic |
| Unit name | Australian Flying Corps, No 2 Squadron, Head-Quarters |
| AWM Embarkation Roll number | 8/5/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 30th Training Squadron, Australian Flying Corps |
| Fate | Effective abroad (still overseas) |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
