| Regimental number | 666 |
| Place of birth | Latrobe, Tasmania |
| Religion | Church of England |
| Occupation | Seaman |
| Address | 3 King William Street, Fitzroy, Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs M B Dalzell, 3 King William Street, Fitzroy, Melbourne, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | Australian Flying Corps, No 2 Squadron, B Flight |
| AWM Embarkation Roll number | 8/5/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | No 3 Squadron, Australian Flying Corps |
| Fate | Returned to Australia |
| Medals |
Meritorious Service Medal Source: 'Commonwealth Gazette' No. 219 Date: |