| Regimental number | 2964 |
| Place of birth | Ghifaulk New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Charleville, Queensland |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs Florence Mabel Maud Hayes, 231 Henderson Road, Alexandria, Sydney, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Lance Corporal |
| Unit name | 5th Light Horse Regiment, 21st Reinforcement |
| AWM Embarkation Roll number | 10/10/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A58 Kabinga on |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 5th Light Horse Regiment |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
