| Regimental number | 2482 |
| Place of birth | Carlton, Victoria |
| Religion | Church of England |
| Occupation | Motor driver |
| Address | Coburg, Victoria |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs Ethel May Bliss, 33 The Avenue, Coburg, Victoria |
| Enlistment date | 22 October 1917 |
| Rank on enlistment | 2nd Air Mechanic |
| Unit name | Australian Flying Corps, No 1 Special Draft |
| AWM Embarkation Roll number | 8/15/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 21 November 1917 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board SS Indarra on 26 November 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Flying Corps |
| Fate | Returned to Australia 6 May 1919 |
