| Regimental number | 4861 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Electrician |
| Address | 'Hazeldene', Queen Street, Marrickville, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs A Mayne, Queen Street, Marrickville, New South Wales |
| Enlistment date | 3 December 1915 |
| Date of enlistment from Nominal Roll | 20 November 1915 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/21/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Star Of England on 8 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Light Trench Mortar Battery |
| Fate | Returned to Australia 2 January 1919 |
