| Regimental number | 16075 |
| Place of birth | Sheffield England |
| Religion | Church of England |
| Occupation | Waggon builder |
| Address | Ipswich, Queensland |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother, Mrs L J Mayne, Macalister Street, Ipswich, Queensland |
| Enlistment date | 4 January 1916 |
| Rank on enlistment | Private |
| Unit name | November 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A64 Demosthenes on 22 December 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Field Ambulance |
| Fate | Returned to Australia 19 November 1917 |
