| Regimental number | 104 |
| Place of birth | Hobart Tasmania |
| Religion | Church of England |
| Occupation | Electrician |
| Address | Scott Street, Moonah, Tasmania |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, H Fletcher, Scott Street, Moonah, Tasmania |
| Previous military service | 14th Field Company Army Engineers |
| Enlistment date | |
| Rank on enlistment | Sapper |
| Unit name | 3rd Field Company Engineers, Headquarters, Section 1, Section 2 and Section 4 |
| AWM Embarkation Roll number | 14/22/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A2 Geelong on |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | 2nd Lieutenant |
| Unit from Nominal Roll | Australian Flying Corps |
| Promotions |
2nd Lieutenant Unit: FLY Reinf Promotion date: |
| Fate | Returned to Australia |