| Regimental number | 200 |
| Place of birth | Melbourne, Victoria |
| Religion | Church of England |
| Occupation | Storeman |
| Address | 'Brundah', Arnold Street, Waverley, New South Wales |
| Marital status | Single |
| Age at embarkation | 31 |
| Height | 5' 10.75" |
| Weight | 139 lbs |
| Next of kin | Mother, Mrs M Gray, 'Brundah', Arnold Street, Waverley, New South Wales |
| Enlistment date | |
| Place of enlistment | Holsworthy, New South Wales |
| Rank on enlistment | Private |
| Unit name | 1st Field Ambulance, C Squadron |
| AWM Embarkation Roll number | 26/44/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board Transport A14 Euripides on |
| Regimental number from Nominal Roll | 1301 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Remounts |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Macquarie Park Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
