| Regimental number | 2364 |
| Place of birth | Bathurst New South Wales |
| Religion | Church of England |
| Occupation | Miner |
| Address | Canon, Valley Proserpine, Queensland |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Mother, Mrs Sarah Haywood, Blackheath, New South Wales |
| Enlistment date | 7 May 1915 |
| Rank on enlistment | Private |
| Unit name | 26th Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/43/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A69 Warilda on 5 October 1915 |
| Fate | No details of fate entered on Nominal Roll |
