| Regimental number | 1140 |
| Place of birth | Geelong Victoria |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | 14 Pevensey Road, East Geelong, Victoria |
| Marital status | Married |
| Age at embarkation | 39 |
| Next of kin | ..., Mrs E Payne, 14 Pevensey Road, East Geelong, Victoria |
| Enlistment date | 8 April 1915 |
| Date of enlistment from Nominal Roll | 17 February 1915 |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, C Company |
| AWM Embarkation Roll number | 23/38/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 10 May 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 21st Battalion |
| Fate | Returned to Australia 15 August 1915 |
