| Regimental number | 12038 |
| Place of birth | Melbourne Victoria |
| Religion | Church of England |
| Occupation | Packer |
| Address | Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, John Payne, 111 Nicholson Street, Abbotsford, Melbourne, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Field Ambulance 9, Section B |
| AWM Embarkation Roll number | 26/52/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A24 Benalla on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Field Ambulance |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
