| Regimental number | 11504 |
| Place of birth | Forbes New South Wales |
| Religion | Church of England |
| Occupation | Polisher |
| Address | Forbes, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs R Mayne, Heath Street, Randwick, New South Wales |
| Enlistment date | |
| Rank on enlistment | Gunner |
| Unit name | 5th Field Artillery Brigade, Reinforcement 3 |
| AWM Embarkation Roll number | 13/33/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Osterley on |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 5th Field Artillery Brigade |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Plaque in New South Wales Garden of Remembrance |
| Date of death |