| Regimental number | 2049 |
| Place of birth | Bathurst New South Wales |
| Religion | Roman Catholic |
| Occupation | Clerk |
| Address | Croydon, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs Theresa Raines, Georges River Road, Croydon, New South Wales |
| Enlistment date | 14 December 1916 |
| Rank on enlistment | Private |
| Unit name | December 1916 Reinforcements |
| AWM Embarkation Roll number | 11/14/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Karmala on 3 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Light Horse Regiment |
| Fate | Effective abroad (still overseas) |