| Regimental number | 3160 |
| Place of birth | Birmingham England |
| Religion | Church of England |
| Occupation | Farm hand |
| Address | 263 Victoria Street, North Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs C A Haywood, 19 Park Road, Sutton Coldfield, Birmingham, England |
| Enlistment date | 29 June 1915 |
| Date of enlistment from Nominal Roll | 20 July 1915 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/22/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Osterley on 29 September 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Battalion |
| Fate | Returned to Australia 4 December 1915 |
