
| Regimental number | 8401 |
| Place of birth | Toowoomba Queensland |
| Religion | Roman Catholic |
| Occupation | Q G R Night officer |
| Address | Rosewood, Queensland |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs E Raymer, 46 Union Street, Spring Hill, Brisbane, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Field Ambulance 3, Reinforcement 13 |
| AWM Embarkation Roll number | 26/46/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A36 Boonah on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 8th Field Ambulance |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Plaque in Queensland Garden of Remembrance |
| Date of death |