| Regimental number | 19304 |
| Place of birth | Clarence River New South Wales |
| Religion | Methodist |
| Occupation | Labourer |
| Address | 13 Halloran Street, Lilyfield, New South Wales |
| Marital status | Married |
| Age at embarkation | 23 |
| Next of kin | Wife, Mrs K Jay, Bonville, North Coast, New South Wales |
| Enlistment date | 19 January 1916 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 7, Brigade Ammunition Column |
| AWM Embarkation Roll number | 13/35/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A8 Argyllshire on 11 May 1916 |
| Rank from Nominal Roll | Bombardier |
| Unit from Nominal Roll | 3rd Field Artillery Brigade |
| Fate | Returned to Australia 31 May 1919 |
