| Regimental number | 1735 |
| Place of birth | Middlesbrough England |
| Religion | Church of England |
| Occupation | Motor company manager |
| Address | Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Step-Mother, Mrs Christina Clausen, 5 Brandes Alle, Copenhagen, Denmark |
| Enlistment date | 26 September 1916 |
| Rank on enlistment | 2nd Air Mechanic |
| Unit name | April 1917 Reinforcements |
| AWM Embarkation Roll number | 8/15/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 16 June 1917 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
