| Regimental number | 5500 |
| Place of birth | Cooma New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Cloncurry, Queensland |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Brother, W Hayes, Orange Post Office, Orange, New South Wales |
| Enlistment date | 14 October 1915 |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/26/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Hawkes Bay on 20 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Employment Company |
| Fate | Returned to Australia 23 July 1919 |