| Regimental number | 58 |
| Place of birth | Gayndah Queensland |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Gayndah, Queensland |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs Helen Gray, Turnberry, Wetherton, Gayndah Line, Queensland |
| Enlistment date | 29 December 1915 |
| Rank on enlistment | Private |
| Unit name | 14th Light Horse Regiment, A Squadron |
| AWM Embarkation Roll number | 10/19/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 13 May 1916 |
| Rank from Nominal Roll | Company Quartermaster Sergeant |
| Unit from Nominal Roll | 11th Infantry Brigade Headquarters |
| Fate | Returned to Australia 19 June 1919 |
