| Regimental number | 14030 |
| Place of birth | Whitechurch England |
| Religion | Church of England |
| Occupation | Chef |
| Address | Imperial Hotel, Chapel Street, South Yarra, Victoria |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Mother, Mrs M Clay, 97 Poplar Road, Earlsdon, Coventry, England |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 3rd Australian Casualty Clearing Station |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A7 Medic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Casualty Clearing Station |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
