| Regimental number | 4640 |
| Place of birth | Sydney New South Wales |
| Religion | Presbyterian |
| Occupation | Ironworker |
| Address | 218 Elswick Street, Leichhardt, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs G C Hayden, 218 Elswick Street, Leichhardt, New South Wales |
| Enlistment date | 14 January 1916 |
| Rank on enlistment | Private |
| Unit name | 18th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/35/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A71 Nestor on 9 April 1916 |
| Regimental number from Nominal Roll | 4640A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 20th Battalion |
| Fate | Returned to Australia 20 May 1919 |
