| Regimental number | 11639 |
| Place of birth | London, England |
| Religion | Church of England |
| Occupation | Motor mechanic |
| Address | 400 Union Street, Brunswick, Victoria |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Mother, Mrs F Andrew, Hilldrop crescent, Holloway, London, England |
| Enlistment date | 24 February 1916 |
| Place of enlistment | Melbourne, Victoria |
| Rank on enlistment | MT DVR |
| Unit name | Supply Column 3, Army Service Corps 26 |
| AWM Embarkation Roll number | 25/29/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A19 Afric on 5 June 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Flying Corps |
| Fate | Returned to Australia 6 May 1919 |
