| Regimental number | 3640 |
| Place of birth | Walsall England |
| Religion | Church of England |
| Occupation | Soldier |
| Address | Milson's Point, New South Wales |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs Szephyr Frances Fletcher, 15 McDougall Street, Milson's Point, North Sydney, New South Wales |
| Previous military service | Inst'l Staff |
| Enlistment date | 19 February 1917 |
| Rank on enlistment | Sergeant |
| Unit name | 45th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/62/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A74 Marathon on 10 May 1917 |
