| Regimental number | 643 |
| Religion | Methodist |
| Occupation | Electrical fitter |
| Address | 67 McCracken Street, Kensington, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs. Jessie Elizabeth Jay, 67 McCracken Street, Kensington, Victoria |
| Enlistment date | 26 October 1914 |
| Date of enlistment from Nominal Roll | 23 October 1914 |
| Rank on enlistment | Sergeant |
| Unit name | Divisional Signal Company 2, Reinforcement 20 |
| AWM Embarkation Roll number | 22/12/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Omrah on 17 January 1917 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | a Corps S |
| Fate | Returned to Australia 9 February 1918 |
