| Regimental number | 13767 |
| Date of birth | 4 March 1891 |
| Place of birth | 5 Albert Terrace, Swanscombe, England |
| Religion | Church of England |
| Occupation | Hospital attendant |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs E M Day, Tor Mount Road, Plumstead, London, England |
| Enlistment date | 15 December 1915 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, Special Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A61 Kanowna on 29 March 1916 |
| Unit from Nominal Roll | 3rd Field Ambulance |
| Fate | Discharged 25 September 1917 |
| Other details | Discharged medically unfit |
| Date of death | 23 July 1957 - Concord Repat Hosp. |
| Age at death | 66 |
| Place of burial | Rookwood Necropolis, Sydney, New South Wales |
