| Regimental number | 5278 |
| Religion | Church of England |
| Occupation | Clerk |
| Address | 14 Athol Street, Prahran, Victoria |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs A E Tay, 14 Athol Street, Prahran, Victoria |
| Enlistment date | 9 July 1915 |
| Rank on enlistment | Sapper |
| Unit name | Signal Troop 3, Reinforcement 13 |
| AWM Embarkation Roll number | 22/21/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A19 Afric on 5 January 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |