| Regimental number | 15692 |
| Religion | Church of England |
| Occupation | Miner |
| Address | 19 Broadstairs Street, Balmain East, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs E Hayward, 19 Broadstairs Street, Balmain East, Sydney, New South Wales |
| Enlistment date | 5 September 1915 |
| Rank on enlistment | Gunner |
| Unit name | Divisional Ammunition Column 5, Reinforcement 2 |
| AWM Embarkation Roll number | 25/93/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 14 April 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
