| Regimental number | 5382 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 36 Morrisett Street, Bathurst, New South Wales |
| Marital status | Married |
| Age at embarkation | 41 |
| Next of kin | Wife, Mrs Ellen Jessie Payne, 36 Morrisett Street, Bathurst, New South Wales |
| Enlistment date | 9 February 1916 |
| Date of enlistment from Nominal Roll | 6 February 1916 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/36/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 22 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 19th Battalion |
| Fate | Returned to Australia 4 May 1917 |
