| Regimental number | 3211 |
| Place of birth | Barraba New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Dalby, Queensland |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs May Norma Hayes, c/o Mrs Kaye, Mary Street, Rosalie, Queensland |
| Enlistment date | 2 December 1916 |
| Rank on enlistment | Private |
| Unit name | 41st Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/58/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 7 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 41st Battalion |
| Fate | Returned to Australia 12 March 1919 |
