| Regimental number | 1090 |
| Place of birth | Dubbo New South Wales |
| Religion | Church of England |
| Occupation | Miner |
| Address | Tingha, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Elizabeth Hayes, Tingha, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, C Company |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT Ceramic on |
| Fate | No details of fate entered on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
