| Regimental number | 5655 |
| Religion | Church of England |
| Occupation | Miner |
| Address | Bathurst, New South Wales |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother, Mrs E Blay, Waiouru, New Zealand |
| Enlistment date | 4 January 1916 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/19/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A55 Kyarra on 3 June 1916 |
| Regimental number from Nominal Roll | 6722 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Machine Gun Battalion |
| Fate | Returned to Australia 20 November 1918 |
