| Regimental number | 6722 |
| Date of birth | |
| Place of birth | Bathurst New South Wales |
| Religion | Church of England |
| Occupation | Miner |
| Address | Blackboy Hill, Western Australia |
| Marital status | Single |
| Age at embarkation | 39 |
| Next of kin | Mother, Mrs E Blay, Waiouej, North Island, New Zealand |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/28/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A8 Argyllshire on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Machine Gun Battalion |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
| Date of death | |
| Age at death | 54 |
| Place of burial | St John's Churchyard (Section F, Row 4, Grave No. 456), Canberra |