| Regimental number | 4765 |
| Place of birth | Williamstown Victoria |
| Religion | Church of England |
| Occupation | Lvourer |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Wife, Mrs Annie Rayner, Altona Bay, North Williamstown, Melbourne, Victoria |
| Enlistment date | 12 February 1916 |
| Rank on enlistment | Private |
| Unit name | 23rd Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/49/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A14 Euripides on 4 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 23rd Battalion |
| Fate | Returned to Australia 14 June 1919 |