| Regimental number | 6956 |
| Place of birth | Horsham, Victoria |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Coolamon, New South Wales |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Wife, Mrs M M Bray, Coolamon, New South Wales |
| Enlistment date | 21 September 1916 |
| Place of enlistment | Cootamundra, New South Wales |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, 23rd Reinforcement |
| AWM Embarkation Roll number | 23/30/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 25 November 1916 |