| Regimental number | 6857 |
| Place of birth | Windsor England |
| Religion | Church of England |
| Occupation | Brickmaker |
| Address | Marrickville, New South Wales |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs Elizabeth Payne, Sydenham Road, Marrickville, New South Wales |
| Enlistment date | 12 May 1917 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/34/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 16 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 17th Battalion |
| Fate | Returned to Australia 12 September 1918 |
