| Regimental number | 4128 |
| Place of birth | Ballarat Vic |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Mrs Catherine Hayes, 339 Johnston Street, Abbotsford, Victoria |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Brother, Edward Hayes, Ballarat East, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/38/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Pioneer Battalion |
| Fate | Died of disease |
| Place of burial | Melcombe Regis Cemetery (Plot III, Row C, Grave NO. 2706), Dorset |
| Panel number, Roll of Honour, Australian War Memorial | 174 |