| Regimental number | 1684 |
| Place of birth | Albert Canada |
| Religion | Baptist |
| Occupation | Labourer |
| Address | 69 Bayview Street, East Prahran, Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs Mary Hayward, 69 Bayview Street, East Prahran, Melbourne, Victoria |
| Enlistment date | 27 April 1915 |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/39/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A64 Demosthenes on 16 July 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Army Provost Corps |
| Fate | Returned to Australia 4 June 1919 |
| Date of death | 20 December 1964 |
| Place of burial | Springvale Cemetery |