| Regimental number | 2669 |
| Place of birth | Melbourne Vic |
| Religion | Church of England |
| Occupation | Hardware assistant |
| Address | Elsternwick, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Mary Louisa Hay, 5 Rowan Street, Elsternwick, Victoria |
| Enlistment date | 8 August 1916 |
| Rank on enlistment | Private |
| Unit name | 58th Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/75/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 2 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Division Train |
| Fate | Returned to Australia 5 July 1919 |