| Regimental number | 21746 |
| Place of birth | Morchard South Australia |
| Religion | Presbyterian |
| Occupation | Farmer |
| Address | Gama, Victoria |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Father, W H Graham, Gama, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, General Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Australian General Hospital |
| Fate | Returned to Australia |