| Regimental number | 1341 |
| Religion | Church of England |
| Occupation | Ironworker |
| Address | ... |
| Marital status | Single |
| Age at embarkation | 41 |
| Next of kin | Father, W Day, Melton Road, Melton Park Portsmouth, England |
| Enlistment date | 24 October 1914 |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/31/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A46 Clan Macgillivray on 2 February 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
