| Regimental number | 6350 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Van driver |
| Address | Newtown, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs A A Hayden, 113 Gowire Street, Newtown, New South Wales |
| Enlistment date | 12 September 1916 |
| Date of enlistment from Nominal Roll | 5 September 1916 |
| Rank on enlistment | Private |
| Unit name | 20th Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/37/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A29 Suevic on 11 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 20th Battalion |
| Fate | Returned to Australia 5 April 1918 |