| Regimental number | 17244 |
| Place of birth | Childers Queensland |
| Religion | Methodist |
| Occupation | Labourer |
| Address | South Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs J Rayner, Montague Road, 2nd from Hope Street, South Brisbane, Queensland |
| Enlistment date | 7 February 1916 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, March 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on 14 July 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Field Ambulance |
| Fate | Returned to Australia 5 July 1919 |
