| Regimental number | 5047 |
| Place of birth | Adelaide, South Australia |
| Religion | Roman Catholic |
| Occupation | Boiler maker's assistant |
| Address | 70 Hanson Street, Adelaide, South Australia |
| Marital status | Married |
| Age at embarkation | 41 |
| Next of kin | Wife, Mrs M Blay, 70 Hamson Street, Adelaide, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/27/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A9 Shropshire on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Veterinary Corps |
| Fate | Returned to Australia |
| Date of death | |
| Age at death | 71 |
| Place of burial | AIF Cemetery, West Terrace, Adelaide, South Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
