| Regimental number | 4574 |
| Religion | Methodist |
| Occupation | Butcher |
| Address | 46 Liverpool Street, North Fitzroy, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Annie Hayes, 46 Liverpool Street, North Fitzroy, Victoria |
| Enlistment date | 2 August 1915 |
| Rank on enlistment | Private |
| Unit name | 24th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/41/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Malwa on 21 March 1916 |
| Fate | No details of fate entered on Nominal Roll |
