| Regimental number | 374 |
| Place of birth | Footscray Victoria |
| Religion | CofW |
| Occupation | Stockman |
| Address | Canterbury Road, Tunstall, Victoria |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs Annie Jay, Canterbury Road, Tunstall, Victoria |
| Enlistment date | 29 April 1915 |
| Rank on enlistment | Private |
| Unit name | 11th Light Horse Regiment, A Squadron |
| AWM Embarkation Roll number | 10/16/1 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A7 Medic on 2 June 1915 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A30 Borda on 16 June 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
