| Regimental number | 15666 |
| Place of birth | Darlinghurst New South Wales |
| Religion | Church of England |
| Occupation | Seaman |
| Address | c/o G P O Sydney, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs Q M Raymond, Rickard Street, Marrickville, New South Wales |
| Enlistment date | 20 November 1915 |
| Rank on enlistment | Driver |
| Unit name | Divisional Ammunition Column 2, Reinforcement 5 |
| AWM Embarkation Roll number | 25/90/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 14 April 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 2nd Division Ammunition Column |
| Fate | Returned to Australia 9 September 1916 |
