| Regimental number | 15764 |
| Place of birth | Forster New South Wales |
| Religion | Presbyterian |
| Occupation | Carpenter |
| Address | Forster, New South Wales |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Mother, Mrs Maria Ravell, Forster, North coast, New South Wales |
| Enlistment date | 26 April 1916 |
| Date of enlistment from Nominal Roll | 15 April 1916 |
| Rank on enlistment | Driver |
| Unit name | October 1916 Reinforcements |
| AWM Embarkation Roll number | 14/42/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A74 Marathon on 31 October 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 12th Field Company Engineers |
| Fate | Returned to Australia 10 March 1918 |
