| Regimental number | 2250 |
| Place of birth | Portland Victoria |
| Religion | Presbyterian |
| Occupation | Blacksmith |
| Address | Richmond, Victoria |
| Marital status | Married |
| Age at embarkation | 26 |
| Next of kin | Wife, Mrs Mabel Grace Fredericks, 5 Darlington Parade, Richmond, Victoria |
| Enlistment date | 30 May 1916 |
| Rank on enlistment | 2nd Air Mechanic |
| Unit name | August 1917 Reinforcements |
| AWM Embarkation Roll number | 8/15/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A60 Aeneas on 30 October 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | A.R.S. 1st Wing |
| Fate | Returned to Australia 6 March 1919 |
