| Regimental number | 5055 |
| Place of birth | Willoughby New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Mowbray Road, Willoughby, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, W Rae, Mowbray Road, Willoughby, New South Wales |
| Enlistment date | 22 January 1916 |
| Date of enlistment from Nominal Roll | 27 January 1916 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/36/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A31 Ajana on 5 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 20th Battalion |
| Fate | Returned to Australia 4 June 1919 |
