| Regimental number | 2604 |
| Place of birth | Geelong Vic |
| Religion | Church of England |
| Occupation | Plumber |
| Address | Racecourse Road, Casterton, Victoria |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | J J Hayward, Racecourse Road, Casterton, Victoria |
| Enlistment date | 21 April 1915 |
| Rank on enlistment | Private |
| Unit name | 8th Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/25/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board SS Makarini on 15 September 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 59th Battalion |
| Fate | Returned to Australia 13 February 1917 |
