| Regimental number | 2174 |
| Place of birth | Tamworth New South Wales |
| Religion | Church of England |
| Occupation | Farmer |
| Address | 20 Juliet Street, Enmore, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs Annie Hayne, 20 Juliet Street, Enmore, Sydney, New South Wales |
| Enlistment date | 28 February 1916 |
| Rank on enlistment | Private |
| Unit name | 53rd Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/70/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A44 Vestalia on 11 July 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 18th Battalion |
| Fate | Returned to Australia 30 January 1918 |
