| Regimental number | 7582 |
| Place of birth | Gundagai New South Wales |
| Religion | Church of England |
| Occupation | Stockman |
| Address | Brisbane, Queensland |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs C J Ray, 657 Leichhardt Street, Valley, Queensland |
| Enlistment date | 17 April 1917 |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 25th Reinforcement |
| AWM Embarkation Roll number | 23/32/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on 14 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Battalion |
| Fate | Returned to Australia 25 November 1917 |
