| Regimental number | 3903 |
| Place of birth | Glebe New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 171 Harris Street, Pyrmont, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs E Rafton, 171 Harris Street, Pyrmont, Sydney, New South Wales |
| Previous military service | 28th Infantry |
| Enlistment date | 5 November 1915 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/36/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on 20 January 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
