| Regimental number | 3567 |
| Place of birth | Hobart Tasmania |
| Religion | Roman Catholic |
| Occupation | Carpenter |
| Address | 17 Quayle Street, Sandy Bay, Hobart, Tasmania |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs I I Ray, 17 Quayle Street, Sandy Bay, Hobart, Tasmania |
| Enlistment date | 5 August 1915 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/29/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on 10 November 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 24th Depot Unit of Supply |
| Fate | Returned to Australia 2 October 1918 |
