| Regimental number | 3654 |
| Place of birth | Coolgardie Western Australia |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 56 Eveleigh Street, Redfern, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Jessie Laycock, 56 Eveleigh Street, Redfern, New South Wales |
| Previous military service | 25th Infantry |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 53rd Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/70/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A28 Miltiades on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 35th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
