| Regimental number | 1503 |
| Place of birth | Bendigo Vic |
| Religion | Roman Catholic |
| Occupation | Chaffeur |
| Address | 31 Rose Street, Fitzroy, Victoria |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs Ruth Hayes, 31 Rose Street, Fitzroy, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1st Australian Clearing Hospital |
| AWM Embarkation Roll number | 26/102/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAS A55 Kyarra on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Casualty Clearing Station |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
