| Place of birth | Beechworth Victoria |
| Religion | Presbyterian |
| Occupation | Dentist |
| Address | Beechworth, Victoria |
| Marital status | Single |
| Age at embarkation | 37 |
| Next of kin | Father, C Payne, Beechworth, Victoria |
| Previous military service | Australian Army Medical Corps Res |
| Enlistment date | 1 June 1916 |
| Date of enlistment from Nominal Roll | 18 November 1917 |
| Rank on enlistment | Lieutenant |
| Unit name | Dental Details |
| AWM Embarkation Roll number | 26/105/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 21 November 1917 |
| Rank from Nominal Roll | Captain |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Effective abroad (still overseas) |
