| Regimental number | 62171 |
| Place of birth | Moss Vale New South Wales |
| Religion | Roman Catholic |
| Occupation | Miner |
| Address | Yarrandarie, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Father, J Hayes, Yarrandarie, New South Wales |
| Enlistment date | 10 December 1917 |
| Rank on enlistment | Private |
| Unit name | 1-6 (SA) Reinforcements |
| AWM Embarkation Roll number | 23/111/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board SS Gaika on 6 August 1918 |
| Fate | No details of fate entered on Nominal Roll |