| Regimental number | 890 |
| Place of birth | Rockhampton Queensland |
| Religion | Church of England |
| Occupation | Police Magistrate |
| Marital status | Single |
| Age at embarkation | 44 |
| Next of kin | Sister, Mrs Sarah Wagner, 54 Vale Street, St Kilda, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Australian Flying Corps, No 4 Squadron, Headquarters |
| AWM Embarkation Roll number | 8/7/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Omrah on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Flying Corps |
| Fate | Effective abroad (still overseas) |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
