| Regimental number | 5543 |
| Place of birth | Tea Tree Gully, South Australia |
| Religion | Church of England |
| Occupation | Assistant |
| Address | Norwood, South Australia |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs Florence Emily Ray, 18 Queen Street, Norwood, South Australia |
| Enlistment date | 10 February 1916 |
| Rank on enlistment | Private |
| Unit name | 27th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/44/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A68 Anchises on 28 August 1916 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | alight Rlys |
| Fate | Returned to Australia 30 April 1919 |
