| Regimental number | 3508 |
| Place of birth | Brighton England |
| Religion | Church of England |
| Occupation | Seamen's cook |
| Address | Fraser's Hill, Queensland |
| Marital status | Married |
| Age at embarkation | 39 |
| Next of kin | Wife, Mrs Clara maria Rayward, Norton Street, Ballina, Richmond River, New South Wales |
| Enlistment date | 29 January 1916 |
| Rank on enlistment | Sapper |
| Unit name | August 1916 Reinforcements |
| AWM Embarkation Roll number | 16/14/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Orontes on 16 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Mining Corps |
| Fate | Returned to Australia 4 May 1917 |
