| Regimental number | 2014 |
| Place of birth | Adelaide South Australia |
| Religion | Roman Catholic |
| Occupation | Horse driver |
| Address | Nelson Street, Stepney, South Australia |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs Ethel May Raven, Nelson Street, Stepney, South Australia |
| Enlistment date | 11 January 1915 |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/27/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A20 Hororata on 20 April 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Battalion |
| Fate | Returned to Australia 29 July 1915 |
