| Regimental number | 66560 |
| Place of birth | Corrimal New South Wales |
| Religion | Presbyterian |
| Occupation | Miner |
| Address | Corrimal, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, E Gay, Railway Street, Corrimal, New South Wales |
| Previous military service | 2nd Bn 34th Infantry Regiment |
| Enlistment date | 28 August 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 21 |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A36 Boonah on 22 October 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
