| Regimental number | 6095 |
| Place of birth | Port Elizabeth South Africa |
| Religion | Church of England |
| Occupation | Grocer |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, L Fly, 134 Dorai Street, Rodsby, Jeppestown, Johannesburg, South Africa |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 2nd Australian General Hospital, Special Reinforcements |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A68 Anchises on |
| Regimental number from Nominal Roll | 8288 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Field Ambulance |
| Fate | Effective abroad (still overseas) |
| Other details |
Medals: 1914-15 Star, British War Medal, Victory Medal |