| Regimental number | 6127 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Cook |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother, Mrs Mary Hayes, 105 Humberstone Road, Plaistow, London, England |
| Enlistment date | 15 March 1915 |
| Rank on enlistment | Driver |
| Unit name | Infantry Brigade 5, 15th Company, Army Service Corps |
| AWM Embarkation Roll number | 25/103/1 |
| Embarkation details | Unit embarked from |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | Australian Army Service Corps |
| Fate | Effective abroad (still overseas) |
