| Regimental number | 63 |
| Date of birth | |
| Place of birth | Fitzroy, Victoria |
| Religion | Church of England |
| Occupation | Station manager |
| Address | Garden Vale, Victoria |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs Fanny Emily Chase, 'Donore', Garden Vale, Victoria |
| Enlistment date | |
| Rank on enlistment | Corporal |
| Unit name | 39th Battalion, A Company |
| AWM Embarkation Roll number | 23/56/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | Australian Flying Corps |
| Promotions |
2nd Lieutenant Unit: FLY Pilot Sqn 5 Promotion date: Lieutenant Unit: FLY Pilot Sqn 5 Promotion date: |
| Fate | Returned to Australia |
| Medals |
AFC Source: 'Commonwealth Gazette' No. 113 Date: |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
