| Regimental number | 15691 |
| Place of birth | Newtown New South Wales |
| Religion | Church of England |
| Occupation | Loco fireman |
| Address | Midland Junction, Western Australia |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, G Rayward, Cope Street, Midland Junction, Western Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | September 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A23 Suffolk on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 30th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
