| Regimental number | 1165 |
| Place of birth | Adelaide South Australia |
| Religion | Church of England |
| Occupation | Salesman |
| Address | 84 Mary Street, Unley, South Australia |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Father, J G Raphael, c/o Bairds Ltd, Perth, Western Australia |
| Enlistment date | |
| Rank on enlistment | Sergeant |
| Unit name | Stationary Hospital 1 |
| AWM Embarkation Roll number | 26/70/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A55 Kyarra on |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 1st Australian General Hospital |
| Fate | Returned to Australia |
| Other details |
Medals: 1914-15 Star, British War Medal, Victory Medal |
| Date of death | |
| Place of burial | West Terrace Cemetery |