| Regimental number | 5447 |
| Place of birth | Palmers Island New South Wales |
| Religion | Church of England |
| Occupation | Shop assistant |
| Address | Palmers Island via Maclean, Clarence River, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs M Payne, Palmers Island via Maclean, Clarence River, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/26/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Hawkes Bay on |
| Regimental number from Nominal Roll | 5547 |
| Rank from Nominal Roll | Lance Sergeant |
| Unit from Nominal Roll | 9th Battalion |
| Recommendations (Medals and Awards) |
Military Medal 'Gallantry and valuable services.' (Near Le Barque, 27 February 1917.) Recommendation date: |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 140 Date: |