| Regimental number | 4549 |
| Place of birth | Newcastle New South Wales |
| Religion | Methodist |
| Occupation | Grocer |
| Address | c/o Mrs N Gay, Addison Road, New Lambton, Newcastle, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs Jane Gray, Addison Road, New Lambton, Newcastle, New South Wales |
| Previous military service | 16th Infantry |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/47/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on |
| Regimental number from Nominal Roll | 4549A |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 35th Battalion |
| Recommendations (Medals and Awards) |
Military Medal Recommendation date: |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 109 Date: |
| Date of death | |
| Place of burial | Rookwood Crematorium |