| Regimental number | 4101 |
| Place of birth | Thebarton, South Australia |
| Religion | Church of England |
| Occupation | Seaman |
| Address | Albert Street, Thebarton, South Australia |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Sarah Day, Albert Street, Thebarton, South Australia |
| Enlistment date | 10 December 1915 |
| Rank on enlistment | Private |
| Unit name | 27th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/44/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board RMS Mongolia on 9 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Pioneer Battalion |
| Fate | Returned to Australia 15 February 1918 |
