| Regimental number | 4796 |
| Place of birth | Perth Western Australia |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | 22 Simpson Street, West Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs E M A Gray, 22 Simpson Street, West Perth, Western Australia |
| Enlistment date | 20 December 1915 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/28/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A38 Ulysses on 1 April 1916 |
| Regimental number from Nominal Roll | 4796A |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 1st Division Train |
| Fate | Returned to Australia 23 July 1919 |