| Regimental number | 4399 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | Vimiera Road, Eastwood, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Jane Hay, 12 St Charles Square, North Kensington, New South Wales |
| Enlistment date | 16 March 1915 |
| Date of enlistment from Nominal Roll | 5 March 1915 |
| Rank on enlistment | Private |
| Unit name | No 3 Australian General Hospital |
| AWM Embarkation Roll number | 26/67/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Mooltan on 15 May 1915 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 3rd Australian General Hospital |
| Fate | Returned to Australia 8 April 1918 |