| Regimental number | 1041 |
| Place of birth | Mornington Victoria |
| Religion | Church of England |
| Occupation | Turner and fitter |
| Address | 651 High Street, Armadale, Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs R Short, 651 High Street, Armadale, Melbourne, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Australian Flying Corps, No 4 Squadron, B Flight |
| AWM Embarkation Roll number | 8/7/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Omrah on |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 4th Squadron, Australian Flying Corps |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
