| Regimental number | 14821 |
| Place of birth | Ballarat Victoria |
| Religion | Church of England |
| Occupation | Pastrycook |
| Address | Ballarat East, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, R Mackay, 212 Lyons Street, Ballarat South, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, August 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A14 Euripides on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Field Ambulance |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
