| Regimental number | 110 |
| Place of birth | Melbourne, Victoria |
| Religion | Church of England |
| Occupation | Cook |
| Address | c/o Mrs Hatch, Brook Street, Oakey Park, Eskbank, New South Wales |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, c/o Mrs Hatch, Brook Street, Oakey Park, Eskbank, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Australian Flying Corps, No 1 Squadron, Headquarters |
| AWM Embarkation Roll number | 8/4/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A67 Orsova on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Squadron, Australian Flying Corps |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
