| Regimental number | 8625 |
| Place of birth | London England |
| Religion | Baptist |
| Occupation | Butcher |
| Address | Balaclava Street, North Rockhampton, Queensland |
| Marital status | Married |
| Age at embarkation | 24 |
| Next of kin | Wife, Mrs Ellen E Payne, Balaclava Street, North Rockhampton, Queensland |
| Enlistment date | 1 October 1915 |
| Rank on enlistment | Private |
| Unit name | Depot Unit Of Supply 3 |
| AWM Embarkation Roll number | 25/107/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Mooltan on 11 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Division Train |
| Fate | Returned to Australia 1 August 1919 |
