| Regimental number | 6274 |
| Place of birth | Merino Vic |
| Religion | Roman Catholic |
| Occupation | Horse driver |
| Address | Merino PO, Victoria |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Father, P Hayes, Merino PO, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/23/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A14 Euripides on |
| Fate | No details of fate entered on Nominal Roll |