| Regimental number | 6602 |
| Place of birth | Christchurch New Zealand |
| Religion | Church of England |
| Occupation | Labourer |
| Marital status | Single |
| Age at embarkation | 36 |
| Next of kin | Brother, T. Hazelhurst, Lynwood Street, Christchurch, New Zealand |
| Enlistment date | 22 January 1916 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/19/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 7 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Battalion |
| Fate | Returned to Australia 31 March 1919 |
