| Regimental number | 3769 |
| Place of birth | Berry New South Wales |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Casino, New South Wales |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs S E Gray, Casino, New South Wales |
| Enlistment date | 24 September 1915 |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/26/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A50 Itonus on 30 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Division Train |
| Fate | Returned to Australia 1 May 1919 |
