| Regimental number | 14060 |
| Place of birth | Stawell Victoria |
| Religion | Church of England |
| Occupation | Railway employee |
| Address | St George Street, Stawell, Victoria |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs C Payne, St George Street, Stawell, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 3rd Australian Casualty Clearing Station |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A7 Medic on |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | ACCS |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
