| Regimental number | 3622 |
| Place of birth | Tarampa Queensland |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Mount Olive, Sinnabar Siding, Kilkivan, Queensland |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs Jane Ray, Mount Olive, Sinnabar Siding, Kilkivan, Queensland |
| Enlistment date | 31 August 1915 |
| Rank on enlistment | Private |
| Unit name | 25th Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/42/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A55 Kyarra on 3 January 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Pioneer Battalion |
| Fate | Returned to Australia 8 August 1916 |
