| Regimental number | 4841 |
| Place of birth | Hay New South Wales |
| Religion | Roman Catholic |
| Occupation | Shearer |
| Address | Hay, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Father, E Ray, William Street, West Hay, New South Wales |
| Enlistment date | 17 November 1916 |
| Date of enlistment from Nominal Roll | 16 November 1916 |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/47/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on 24 January 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Machine Gun Battalion |
| Fate | Returned to Australia 3 July 1919 |
