| Regimental number | 9455 |
| Place of birth | East Brisbane Queensland |
| Religion | Church of England |
| Occupation | Civil engineer |
| Address | Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Marie Kay, Junction Terrace, Ipswich Road, South Brisbane, Queensland |
| Enlistment date | 25 January 1916 |
| Rank on enlistment | Sapper |
| Unit name | 11th Field Company Engineers, Section 3 |
| AWM Embarkation Roll number | 14/30/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A29 Suevic on 31 May 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
