| Regimental number | 4764 |
| Place of birth | Albany Western Australia |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Manjimup, Western Australia |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, Fish Kay, Sunnyhurst, Manjimup via Bridgetown, Western Australia |
| Enlistment date | 7 February 1916 |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/45/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A60 Aeneas on 17 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Machine Gun Battalion |
| Fate | Returned to Australia 16 June 1919 |