| Regimental number | 6333 |
| Place of birth | Gympie Queensland |
| Religion | Methodist |
| Occupation | Public servant |
| Address | c/o Mrs K Kay, Musgrave Street, Gympie, Queensland |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs K Kay, Musgrave Street, Gympie, Queensland |
| Enlistment date | 27 July 1915 |
| Rank on enlistment | Private |
| Unit name | 7th Field Ambulance, 6th Reinforcement |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A48 Seang Bee on 21 October 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Field Ambulance |
| Fate | Returned to Australia 11 May 1919 |
