| Regimental number | 3691 |
| Place of birth | Rotherham England |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Surry Hills, New South Wales |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Sister, Mrs Gertrude Raine, 8 Gordon Street, Bloemfontein, South Africa |
| Enlistment date | 3 April 1917 |
| Rank on enlistment | Private |
| Unit name | 45th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/62/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A74 Marathon on 10 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 45th Battalion |
| Fate | Returned to Australia 7 February 1919 |
