| Regimental number | 1739 |
| Place of birth | Adelaide South Australia |
| Religion | Methodist |
| Occupation | Motor mechanic |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Fanny Hayward, 27 Gilbert Street, Goodwood, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 32nd Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/49/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A30 Borda on |