| Regimental number | 19272 |
| Place of birth | Lamington England |
| Occupation | Electrician |
| Address | Valley, Queensland |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs Mary Ann Payne, 118 Kennigo Street, Valley, Queensland |
| Enlistment date | 16 February 1917 |
| Rank on enlistment | Sapper |
| Unit name | Special Draft Reinforcements Signal Service (Egypt) |
| AWM Embarkation Roll number | 22/37/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A55 Kyarra on 3 September 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Signal Squadron |
| Fate | Returned to Australia 28 January 1919 |
