| Regimental number | 1776 |
| Place of birth | North Walsham England |
| Religion | Church of England |
| Occupation | Bricklayer |
| Address | Metropolitan Coffee Palace, Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | James Payne, North Walsham, Norfolk, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/29/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A15 Star Of England on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Light Horse Regiment |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
