| Regimental number | 3101 |
| Place of birth | Prospect South Australia |
| Religion | Methodist |
| Occupation | Storeman |
| Address | Prospect, South Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Elizabeth Moss, Harvey Street, Prospect, South Australia |
| Previous military service | 80th Infantry |
| Enlistment date | 31 March 1917 |
| Rank on enlistment | Private |
| Unit name | 43rd Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/60/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A30 Borda on 23 June 1917 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 43rd Battalion |
| Fate | Effective abroad (still overseas) |
| Miscellaneous details (Nominal Roll) | *Hayward Seymour |
