| Regimental number | 18493 |
| Place of birth | Dubbo New South Wales |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Emmagool, Dubbo, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, S J Laverack, Emmagool, Dubbo, New South Wales |
| Enlistment date | |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 7, Battery 25 |
| AWM Embarkation Roll number | 13/35/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A8 Argyllshire on |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 7th Field Artillery Brigade |
| Recommendations (Medals and Awards) |
Congratulatory card Recommendation date: |
| Fate | Returned to Australia |