
| Regimental number | 3567 |
| Religion | Church of England |
| Occupation | Farm hand |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs E Raynor, 25 Bertie Road, Milton Portsmouth, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 7th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/24/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |