| Regimental number | 4443 |
| Place of birth | Tamworth New South Wales |
| Religion | Church of England |
| Occupation | Cook |
| Address | 141 Annandale Street, Annandale, New South Wales |
| Marital status | Married |
| Age at embarkation | 26 |
| Next of kin | Wife, Mrs A E Hayter, 141 Annandale Street, Annandale, New South Wales |
| Enlistment date | 30 August 1915 |
| Date of enlistment from Nominal Roll | 13 September 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/18/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Osterley on 15 January 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Battalion |
| Fate | Returned to Australia 12 July 1919 |
