| Regimental number | 66653 |
| Place of birth | Moss Vale New South Wales |
| Religion | Church of England |
| Occupation | Acting fireman |
| Address | Glebe-Avenue, Goulburn, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, G Bailey, Spring Street, Moss Vale, New South Wales |
| Previous military service | 5th Battalion 10th Infantry |
| Enlistment date | 13 June 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 22 |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Wyreema on 14 October 1918 |
| Fate | No details of fate entered on Nominal Roll |
