| Regimental number | 10191 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Hotel manager |
| Address | Enmore, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, J Fay, Hotel Enmore, Enmore, New South Wales |
| Enlistment date | 27 January 1916 |
| Rank on enlistment | Driver |
| Unit name | Army Service Corps May 1916 Reinforcements |
| AWM Embarkation Roll number | 25/108/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A74 Marathon on 4 May 1916 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A17 Port Lincoln on 4 May 1916 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 3rd Division Train |
| Fate | Returned to Australia 8 September 1919 |
