| Regimental number | 632 |
| Place of birth | Hagley England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | C/o G Leash, Romeo Street, Mackay, Queensland |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs Sarah Anne Day, The Downs, Bromyard, Worcestershire, England |
| Enlistment date | 29 December 1915 |
| Rank on enlistment | Private |
| Unit name | 41st Battalion, C Company |
| AWM Embarkation Roll number | 23/58/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A64 Demosthenes on 18 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 41st Battalion |
| Fate | Returned to Australia 20 May 1919 |
