| Regimental number | 12 |
| Place of birth | Brigg, England |
| Religion | Church of England |
| Occupation | Stockman |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs. Katherine Constance Gray, Wilts and Dorset Bank, Bath, England |
| Enlistment date | |
| Place of enlistment | Brisbane, Queensland |
| Rank on enlistment | Private |
| Unit name | 2nd Light Horse Regiment, Headquarters |
| AWM Embarkation Roll number | 10/7/1 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board A15 Star Of England on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Australian Army Hospital. Australian Medical Corps |
| Fate | Discharged |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
