| Regimental number | 1711 |
| Religion | Roman Catholic |
| Occupation | Miner |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | George James Gray, 2194 Varden Street, Piccadilly, Western Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/38/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A64 Demosthenes on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
