| Regimental number | 4498 |
| Place of birth | Launceston Tasmania |
| Religion | Church of England |
| Occupation | Pastrycook |
| Address | 32 David Street, North Carlton, Victoria |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs R Gray, 32 David Street, North Carlton, Victoria |
| Enlistment date | 17 August 1915 |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/31/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A70 Ballarat on 18 February 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | a Prov C |
| Fate | Returned to Australia 28 June 1919 |
