| Regimental number | 5921 |
| Religion | Protestant |
| Occupation | Engineer |
| Address | Kapunda, South Australia |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Father, Rees, Kapunda, South Australia |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Driver |
| Unit name | Light Horse Brigade Train 4 |
| AWM Embarkation Roll number | 25/102/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A19 Afric on |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | 2nd Lieutenant |
| Unit from Nominal Roll | 8th Training Squadron Australian Flying Corps |
| Promotions |
2nd Lieutenant Unit: FLY Sqn 8 Promotion date: Lieutenant Unit: FLY Promotion date: |
| Fate | Returned to Australia |