| Regimental number | 25641 |
| Religion | Church of England |
| Occupation | Civil servant |
| Address | 33 Isabella Street, Waverley, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs I Raymond, 33 Isabella Street, Waverley, Sydney, New South Wales |
| Enlistment date | 31 January 1916 |
| Rank on enlistment | Driver |
| Unit name | Divisional Ammunition Column 4, Reinforcement 4 |
| AWM Embarkation Roll number | 25/92/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on 29 July 1916 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 4th Division Ammunition Column |
| Fate | Returned to Australia 12 May 1919 |