| Regimental number | 13404 |
| Place of birth | Belair, South Australia |
| Religion | Methodist |
| Occupation | Porter, S A R |
| Address | Petersburg, South Australia |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, J B Day, Bruce, South Australia |
| Previous military service | 81st Infantry |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | March 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A61 Kanowna on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Field Ambulance |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
