| Regimental number | 189 |
| Religion | Church of England |
| Occupation | Wire splicer |
| Address | 408 Dorcas Street, South Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 40 |
| Next of kin | Wife, Mrs Jane Pereira, 408 Dorcas Street, South Melbourne, Victoria |
| Enlistment date | |
| Rank on enlistment | 1st Class Air Mechanic |
| Unit name | Australian Flying Corps, No 1 Squadron, A Flight |
| AWM Embarkation Roll number | 8/4/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A67 Orsova on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
