| Regimental number | 1058 |
| Place of birth | Hay New South Wales |
| Religion | Church of England |
| Occupation | Fireman |
| Address | 24 Margaret Street, Enmore, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Blanche Hayes, 24 Margaret Street, Enmore, Sydney, New South Wales |
| Enlistment date | 6 February 1915 |
| Date of enlistment from Nominal Roll | 5 February 1915 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, C Company |
| AWM Embarkation Roll number | 23/34/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A32 Themistocles on 12 May 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Machine Gun Battalion |
| Fate | Returned to Australia 21 June 1919 |
