| Regimental number | 5636 |
| Place of birth | Gowangardie, Victoria |
| Religion | Methodist |
| Occupation | Carpenter |
| Address | c/o Mrs Elizabeth Eastman, 36 Point Nepean Road, Elsternwick, Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs Sarah Jane Day, c/o Mrs Elizabeth Eastman, 36 Point Nepean Road, Elsternwick, Melbourne, Victoria |
| Enlistment date | 22 November 1915 |
| Rank on enlistment | Sapper |
| Unit name | 2nd Field Company Engineers, Reinforcement 14 |
| AWM Embarkation Roll number | 14/21/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on 20 January 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 15th Field Company Engineers |
| Fate | Returned to Australia 5 November 1917 |
