| Regimental number | 6816 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Toymaker |
| Address | Paddington, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Martha Hayes, 6 Olive Street, Paddington, New South Wales |
| Enlistment date | 9 May 1917 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/36/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A16 Port Melbourne on 8 July 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 19th Battalion |
| Fate | Returned to Australia 10 January 1918 |
