| Regimental number | 1736 |
| Place of birth | Birmingham England |
| Religion | Church of England |
| Occupation | Fitter |
| Address | Auburn, New South Wales |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs Hannah Clay, 18A Harrow Road, Auburn, Sydney, New South Wales |
| Enlistment date | 10 February 1917 |
| Rank on enlistment | 2nd Air Mechanic |
| Unit name | April 1917 Reinforcements |
| AWM Embarkation Roll number | 8/15/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 16 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Flying Corps |
| Fate | Returned to Australia 8 August 1918 |
