| Regimental number | 996 |
| Religion | Congregational |
| Occupation | Orchardist |
| Address | Wirrabara, South Australia |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Sarah Grace Rayner, Partridge Street, Glenelg, South Australia |
| Enlistment date | 22 October 1915 |
| Rank on enlistment | Sergeant |
| Unit name | 43rd Battalion, Machine Gun Section |
| AWM Embarkation Roll number | 23/60/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A19 Afric on 9 June 1916 |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 11th Machine Gun Company |
| Fate | Returned to Australia 18 October 1917 |
