| Regimental number | 18659 |
| Place of birth | Balmain New South Wales |
| Religion | Roman Catholic |
| Occupation | Commission agent |
| Address | Glebe, New South Wales |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs J Raymond, 1 Leichhardt Street, Glebe, New South Wales |
| Enlistment date | 24 May 1917 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, August 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A64 Demosthenes on 9 November 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Australian General Hospital |
| Fate | Effective abroad (still overseas) |
