| Regimental number | 1966 |
| Place of birth | Footscray Victoria |
| Religion | Methodist |
| Occupation | File setter |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs A Jay, Canterbury Road, Tunstall, Victoria |
| Enlistment date | 18 January 1915 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/22/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A20 Hororata on 17 April 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Flying Corps |
| Fate | Returned to Australia 6 May 1919 |
