| Regimental number | 10196 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Tailor's cutter |
| Address | Enmore, New South Wales |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Mother, Mrs A Gray, 14 Phillip Street, Enmore, New South Wales |
| Enlistment date | 1 February 1916 |
| Rank on enlistment | Private |
| 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 | Private |
| Unit from Nominal Roll | Australian Army Service Corps |
| Fate | Effective abroad (still overseas) |
