| Regimental number | 25641 |
| Place of birth | Waverley New South Wales |
| Religion | Church of England |
| Occupation | Civil servant |
| Address | 33 Isabella Street, Waverley, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs I Raymond, 33 Isabella Street, Waverley, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Driver |
| Unit name | Divisional Ammunition Column 4, Reinforcement 4 |
| AWM Embarkation Roll number | 25/111/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 4th Division Ammunition Column |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
