| Regimental number | 3780 |
| Place of birth | Stansted England |
| Religion | Church of England |
| Occupation | Painter |
| Address | 168 Cathedral Street, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Mother, Mrs E Gray, Bowen Cottage, Benfield End, Stansted, Essex, England |
| Enlistment date | 15 September 1915 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/19/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 30 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Machine Gun Battalion Details |
| Fate | Returned to Australia 24 August 1918 |
