| Regimental number | 1957 |
| Place of birth | Condobolin New South Wales |
| Religion | Church of England |
| Occupation | Grocer |
| Address | 34 Lawson Street, Paddington, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs R Hayward, 34 Lawson Street, Paddington, Sydney, New South Wales |
| Enlistment date | 18 January 1915 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/21/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A55 Kyarra on 13 April 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Light Trench Mortar Battery |
| Fate | Returned to Australia 9 March 1919 |