| Regimental number | 14721 |
| Place of birth | Chadsmoor Cannock England |
| Religion | Methodist |
| Occupation | Minister |
| Address | Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs M Ray, 227 Chadsmoor, Cannock, Staffordshire, England |
| Enlistment date | 30 November 1915 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, August 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A49 Seang Choon on 19 September 1916 |
| Regimental number from Nominal Roll | 14751 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Field Ambulance |
| Fate | Discharged 15 March 1919 |
