| Regimental number | 2999 |
| Place of birth | Broken Hill New South Wales |
| Religion | Congregational |
| Occupation | Tailor |
| Address | Broken Hill, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs. Temperance Jane Gray, Cummings Street, Broken Hill, New South Wales |
| Enlistment date | 18 January 1916 |
| Rank on enlistment | Private |
| Unit name | 3rd Light Horse Regiment, 22nd Reinforcement |
| AWM Embarkation Roll number | 10/8/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A65 Clan Mcewan on 9 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Light Horse Regiment |
| Fate | Returned to Australia 9 July 1919 |
