| Regimental number | 2020 |
| Place of birth | Hamilton, Victoria |
| Religion | Church of England |
| Occupation | Joiner |
| Address | Moonee Ponds, Victoria |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Cousin, Mrs Elizabeth Mott, 73 Salisbury Street, Moonee Ponds, Victoria |
| Enlistment date | 18 May 1917 |
| Place of enlistment | Melbourne, Victoria |
| Rank on enlistment | 2nd Air Mechanic |
| Unit name | June 1917 Reinforcements |
| AWM Embarkation Roll number | 8/15/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A29 Suevic on 21 June 1917 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on 8 August 1917 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 4 August 1917 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |