| Regimental number | 2164 |
| Place of birth | Bendoc Vic |
| Religion | Presbyterian |
| Occupation | Saw hand |
| Address | Delegate, New South Wales |
| Marital status | Married |
| Age at embarkation | 23 |
| Next of kin | Wife, Mrs Ida Beatrice Hayse, Delegate, New South Wales |
| Enlistment date | 2 February 1916 |
| Rank on enlistment | Private |
| Unit name | 55th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/72/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Port Sydney on 4 September 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 55th Battalion |
| Fate | Returned to Australia 2 June 1919 |