| Date of birth | |
| Place of birth | Christchurch New Zealand |
| Religion | Church of England |
| Occupation | Soldier |
| Address | Hampton, Victoria |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs M Raisbeck, 'Rangiora', Crisp Street, Hampton, Victoria |
| Previous military service | Survey Corps |
| Enlistment date | |
| Rank on enlistment | 2nd Lieutenant |
| Unit name | Survey Corps |
| AWM Embarkation Roll number | 34/15/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A44 Vestalia on |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A45 Bulla on |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A38 Ulysses on |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | a Survey Draft |
| Promotions |
2nd Lieutenant Unit: Survey Unit Promotion date: Lieutenant Unit: Survey Unit Promotion date: |
| Fate | Returned to Australia |