| Regimental number | 2651 |
| Place of birth | Orange New South Wales |
| Religion | Church of England |
| Occupation | Clerk |
| Address | c/o Mrs Mills, Hassal Street, Parramatta, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs Betsy Raphael, Warne Street, Wellington, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/18/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on |
| Regimental number from Nominal Roll | 1750 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Flying Corps |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 110 Date: |