| Regimental number | 964 |
| Place of birth | Abbotsford Victoria |
| Religion | Church of England |
| Occupation | Dentist |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Wife, Mrs Alice Jenkins, 'Langi Koort', Upper Heidelberg Road, Ivanhoe, Victoria |
| Enlistment date | |
| Rank on enlistment | Temporary SGT |
| Unit name | Australian Flying Corps, No 4 Squadron, A Flight |
| AWM Embarkation Roll number | 8/7/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Omrah on |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | Australian Flying Corps |
| Promotions |
2nd Lieutenant Unit: MED Dental Unit 88 Promotion date: Lieutenant Unit: MED Dental Unit 46 Promotion date: Captain |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
