| Regimental number | 4904 |
| Place of birth | Ulverstone, Tasmania |
| Religion | Baptist |
| Occupation | Farmer |
| Address | East Meander, Tasmania |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, Mr E C Payne, Meander, via Deloraine, Tasmania |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/29/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A70 Ballarat on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Battalion |
| Fate | Returned to Australia |
| Other details |
War service: Egypt, Western Front Medals: British War Medal, Victory Medal |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
