| Regimental number | 764 |
| Place of birth | Forster New South Wales |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | Forster, Cape Hawke |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mrs Myra Ravell, Forster, Cape Hawke |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, B Company |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT Ceramic on |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 18th Battalion |
| Promotions |
2nd Lieutenant Unit: Cadet Off on Prob Promotion date: Lieutenant Unit: INF18 Promotion date: |
| Fate | Returned to Australia |