| Regimental number | 13618 |
| Place of birth | Maryborough Qld |
| Religion | Church of England |
| Occupation | Farmer |
| Address | South Kalkie, Bundaberg, Queensland |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs M A Hay, Springfield Road, Kalkie, Bundaberg, Queensland |
| Enlistment date | 28 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 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Field Artillery Brigade |
| Fate | Returned to Australia 16 June 1919 |
