| Regimental number | 3679 |
| Religion | Methodist |
| Occupation | Salesman |
| Address | Viola Lillian Street, Cottesloe, Western Australia |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Father, V Payne, Butcher Wind, St Neath, South Wales |
| Enlistment date | 9 August 1915 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/28/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board RMS Mongolia on 22 November 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Battalion |
| Fate | Returned to Australia 21 December 1917 |
