| Regimental number | 18643 |
| Place of birth | Picton New South Wales |
| Religion | Roman Catholic |
| Occupation | Railway porter |
| Address | Newtown, New South Wales |
| Marital status | Married |
| Age at embarkation | 24 |
| Next of kin | Wife, Mrs M T Gray, 39 Lord Street, Newtown, New South Wales |
| Enlistment date | 17 April 1917 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, August 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A64 Demosthenes on 9 November 1917 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 2nd Australian General Hospital |
| Fate | Returned to Australia 23 September 1919 |
