| Regimental number | 5379 |
| Place of birth | Beltana South Australia |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Port Augusta, South Australia |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs Mary A J Mayo, Port Augusta, South Australia |
| Enlistment date | 12 April 1916 |
| Rank on enlistment | Private |
| Unit name | 27th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/44/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A70 Ballarat on 12 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 27th Battalion |
| Fate | Returned to Australia 25 January 1919 |
