| Regimental number | 12400 |
| Place of birth | Warracknabeal Vic |
| Religion | Methodist |
| Occupation | Driver |
| Address | Warracknabeal, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs E Hayter, Jamoneaux Street, Warracknabeal, Victoria |
| Previous military service | 73rd Infantry |
| Enlistment date | 27 July 1915 |
| Rank on enlistment | Driver |
| Unit name | Army Service Corps July 1916 Reinforcements |
| AWM Embarkation Roll number | 25/108/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Orontes on 12 August 1916 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A42 Boorara on 19 August 1916 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A15 Port Sydney on 7 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Army Service Corps |
| Fate | Effective abroad (still overseas) |
